Healthcare Provider Details
I. General information
NPI: 1003783606
Provider Name (Legal Business Name): THE MIDDLEGROUND COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
104 SEA HERO CT
SUFFOLK VA
23435-1787
US
IV. Provider business mailing address
104 SEA HERO CT
SUFFOLK VA
23435-1787
US
V. Phone/Fax
- Phone: 757-620-1789
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRITTNY
GAINEY
Title or Position: LCSW/OWNER
Credential: LCSW
Phone: 757-620-1789