=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932011756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IRON RIDGE COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2026
-----------------------------------------------------
Last Update Date | 09/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8401 MAYLAND DR STE A
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23294-4648
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-528-8993
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 974 E STUART DRIVE STE D #177
-----------------------------------------------------
City | GALAX
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24333-0008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-528-8993
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ELIZABETH FELTS
-----------------------------------------------------
Credential | LPC, LSATP, CSAC
-----------------------------------------------------
Telephone | 276-233-2256
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------