Healthcare Provider Details

I. General information

NPI: 1992014807
Provider Name (Legal Business Name): ONE-WAY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 02/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 CUNNINGHAM DR SUITE 100
HAMPTON VA
23666-3375
US

IV. Provider business mailing address

2021 CUNNINGHAM DR SUITE 100
HAMPTON VA
23666-3375
US

V. Phone/Fax

Practice location:
  • Phone: 757-826-3058
  • Fax: 757-826-5186
Mailing address:
  • Phone: 757-826-3058
  • Fax: 757-826-5186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1849-05-001
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number1849-05-001
License Number StateVA

VIII. Authorized Official

Name: MS. TIARA N REED
Title or Position: CO-OWNER
Credential:
Phone: 757-593-1223