Healthcare Provider Details
I. General information
NPI: 1740986538
Provider Name (Legal Business Name): GUIDING STORMS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3010 GALICENO CT
SUFFOLK VA
23434-8444
US
IV. Provider business mailing address
3010 GALICENO CT
SUFFOLK VA
23434-8444
US
V. Phone/Fax
- Phone: 386-688-4310
- Fax:
- Phone: 757-951-3095
- Fax: 757-951-3095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAMELA
SHEPARD
HUGHENS
Title or Position: OWNER/ THERAPIST
Credential: LPC
Phone: 757-951-3095