Healthcare Provider Details

I. General information

NPI: 1710070545
Provider Name (Legal Business Name): NATIONAL COUNSELING GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5014 MONUMENT AVE
RICHMOND VA
23230-3620
US

IV. Provider business mailing address

PO BOX 11247
RICHMOND VA
23230-1247
US

V. Phone/Fax

Practice location:
  • Phone: 804-497-4676
  • Fax: 804-497-4677
Mailing address:
  • Phone: 877-566-9624
  • Fax: 804-359-1387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number352
License Number StateVA

VIII. Authorized Official

Name: TAMMY SUE OAKES
Title or Position: ADMINISTRATION COORDINATOR
Credential:
Phone: 804-336-3127