Healthcare Provider Details

I. General information

NPI: 1952839284
Provider Name (Legal Business Name): MONICA MICHELLE COOPER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 BELLEVUE AVE
RICHMOND VA
23227-3901
US

IV. Provider business mailing address

175 ROUTE 70 STE 303
TOMS RIVER NJ
08755-0954
US

V. Phone/Fax

Practice location:
  • Phone: 804-262-7364
  • Fax:
Mailing address:
  • Phone: 804-446-1710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014620
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: