Healthcare Provider Details

I. General information

NPI: 1932011756
Provider Name (Legal Business Name): IRON RIDGE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE A
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

974 E STUART DRIVE STE D #177
GALAX VA
24333-0008
US

V. Phone/Fax

Practice location:
  • Phone: 276-528-8993
  • Fax:
Mailing address:
  • Phone: 276-528-8993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH FELTS
Title or Position: OWNER
Credential: LPC, LSATP, CSAC
Phone: 276-233-2256