Healthcare Provider Details

I. General information

NPI: 1528731429
Provider Name (Legal Business Name): ENJOY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 BRAEBURN DR
SALEM VA
24153-7302
US

IV. Provider business mailing address

1932 BRAEBURN DR
SALEM VA
24153-7302
US

V. Phone/Fax

Practice location:
  • Phone: 540-655-6149
  • Fax: 540-512-8690
Mailing address:
  • Phone: 540-655-6149
  • Fax: 540-512-8690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIA WEAVER
Title or Position: OFFICE MANAGER
Credential:
Phone: 540-529-8543