MEDICARE: 108 COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053874370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	108 COUNSELING, LLC

Provider Business Mailing Address
First Line	:	8710 CHOCTAW RD STE 6A
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-3472
Country	:	US
Telephone Number	:	646-256-5103
Fax Number	:

Provider Business Practice Location Address
First Line	:	8710 CHOCTAW RD STE 6A
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-3472
Country	:	US
Telephone Number	:	646-256-5103
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	STEPHANIE MCNAMARA
Credential	:
Telephone Number	:	804-221-2042

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	04/12/2019

Similar Medicare Providers

1699234740 — DESHANDA ARTIS
Practice Location Address:

8710 CHOCTAW RD
NORTH CHESTERFIELD, VA
23235-3472

Practice Phone: 804-282-2115
Practice Fax:

1881435279 — KATHERINE VEASEY LCSW
Practice Location Address:

8710 CHOCTAW RD STE 2A
NORTH CHESTERFIELD, VA
23235-3472

Practice Phone: 804-214-6074
Practice Fax:

1356189260 — EMPOWERED GROWTH, PLLC
Practice Location Address:

8710 CHOCTAW RD STE 2A
NORTH CHESTERFIELD, VA
23235-3472

Practice Phone: 804-214-6074
Practice Fax:

1548681943 — BRAND NEW HORIZON INC
Practice Location Address:

4029 BONITA DESERT CT
NORTH LAS VEGAS, NV
89032-3472

Practice Phone: 702-580-5991
Practice Fax:

1598300022 — XIN ZHOU
Practice Location Address:

22 PIERPONT CT
NORTH HAVEN, CT
06473-3472

Practice Phone: 203-234-2715
Practice Fax:

1811847379 — AYZJAH MERCER
Practice Location Address:

2500 POCOSHOCK PL
NORTH CHESTERFIELD, VA
23235-6345

Practice Phone: 804-562-8705
Practice Fax:

Directions to “108 COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.