Healthcare Provider Details

I. General information

NPI: 1184431835
Provider Name (Legal Business Name): ASPECT COUNSELING AND PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 COX RD STE 205
GLEN ALLEN VA
23060-6803
US

IV. Provider business mailing address

4801 COX RD STE 205
GLEN ALLEN VA
23060-6803
US

V. Phone/Fax

Practice location:
  • Phone: 804-796-0790
  • Fax: 804-796-0799
Mailing address:
  • Phone: 804-796-0790
  • Fax: 804-796-0799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER MCCAULEY
Title or Position: OWNER
Credential: LCSW
Phone: 804-796-0790