=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275343444
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CUFF COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2025
-----------------------------------------------------
Last Update Date | 01/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 513 PRINCE EDWARD ST
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22401-5742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-909-4250
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6532 WILD ORCHID CT
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22407-7218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-909-4250
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ERIN CUFF
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 804-909-4250
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------