Healthcare Provider Details
I. General information
NPI: 1942120910
Provider Name (Legal Business Name): ALLIANCE BRANCH COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2932 SKIPTON RD
RICHMOND VA
23225-1351
US
IV. Provider business mailing address
2932 SKIPTON RD
RICHMOND VA
23225-1351
US
V. Phone/Fax
- Phone: 804-400-6732
- Fax:
- Phone: 804-400-6732
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
DANYALE
LITTLE
Title or Position: OWNER
Credential: LPC
Phone: 804-400-6732