Healthcare Provider Details

I. General information

NPI: 1104735935
Provider Name (Legal Business Name): EMBER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 TAFT AVE APT 1
WINCHESTER VA
22601-3695
US

IV. Provider business mailing address

15 TAFT AVE APT 1
WINCHESTER VA
22601-3695
US

V. Phone/Fax

Practice location:
  • Phone: 412-779-3206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JACOB BELKIN
Title or Position: OWNER
Credential: LPC
Phone: 412-779-3206