Healthcare Provider Details

I. General information

NPI: 1699821975
Provider Name (Legal Business Name): NEW VISION COUNSELING SERVICE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 STONY POINTE WAY SUITE 221
STRASBURG VA
22657-2670
US

IV. Provider business mailing address

105 STONY POINTE WAY SUITE 221
STRASBURG VA
22657-2670
US

V. Phone/Fax

Practice location:
  • Phone: 540-465-4441
  • Fax: 540-465-4439
Mailing address:
  • Phone: 540-465-4441
  • Fax: 540-465-4439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904004873
License Number StateVA

VIII. Authorized Official

Name: MS. DOROTHY LOUISE GARRETT
Title or Position: LCSW
Credential: LCSW
Phone: 540-465-4441