Healthcare Provider Details

I. General information

NPI: 1417225061
Provider Name (Legal Business Name): COUNSELING ALLIANCE OF VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 EMERYWOOD PKWY STE 200
RICHMOND VA
23294-3746
US

IV. Provider business mailing address

2924 EMERYWOOD PKWY STE 200
RICHMOND VA
23294-3746
US

V. Phone/Fax

Practice location:
  • Phone: 804-346-5165
  • Fax: 804-346-5167
Mailing address:
  • Phone: 804-346-5165
  • Fax: 804-346-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number904006828
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GENE EDWARD CASH
Title or Position: OWNER
Credential:
Phone: 804-346-5165