Healthcare Provider Details

I. General information

NPI: 1912881608
Provider Name (Legal Business Name): AURORA COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 COURT STREET
MATHEWS VA
23109-2167
US

IV. Provider business mailing address

PO BOX 1562
MATHEWS VA
23109-1562
US

V. Phone/Fax

Practice location:
  • Phone: 804-824-7244
  • Fax:
Mailing address:
  • Phone: 804-824-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARA MICHELLE HALLBERG
Title or Position: OWNER
Credential: LPC, CSOTP
Phone: 804-824-7244