Healthcare Provider Details

I. General information

NPI: 1851275929
Provider Name (Legal Business Name): HARVEST COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2025
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3329 LADY CATHERINE CIR
TRIANGLE VA
22172-2331
US

IV. Provider business mailing address

3329 LADY CATHERINE CIR
TRIANGLE VA
22172-2331
US

V. Phone/Fax

Practice location:
  • Phone: 540-670-0035
  • Fax:
Mailing address:
  • Phone: 540-670-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY WILSON
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 540-670-0035