Healthcare Provider Details

I. General information

NPI: 1174232847
Provider Name (Legal Business Name): NEW PEAKS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 BREMO RD STE 203
RICHMOND VA
23226-2440
US

IV. Provider business mailing address

2000 BREMO RD STE 203
RICHMOND VA
23226-2440
US

V. Phone/Fax

Practice location:
  • Phone: 804-322-9355
  • Fax:
Mailing address:
  • Phone: 804-322-9355
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AARON ROWE
Title or Position: BUSINESS OWNER
Credential: LCSW
Phone: 804-322-9355