Healthcare Provider Details

I. General information

NPI: 1336069210
Provider Name (Legal Business Name): ROANOKE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FRANKLIN RD SE
ROANOKE VA
24011-2133
US

IV. Provider business mailing address

PO BOX 20331
ROANOKE VA
24018-0034
US

V. Phone/Fax

Practice location:
  • Phone: 540-354-8095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNA WILLIAMS
Title or Position: OWNER/COUNSELOR
Credential: LPC
Phone: 540-354-0965