MEDICARE: PERSPECTIVES 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	101YM0800X	Mental Health Counselor	0701002831	VA
2	101YP2500X	Professional Counselor	0904007840	VA

General Provider Information

NPI Number	:	1073061354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSPECTIVES COUNSELING, LLC

Provider Business Mailing Address
First Line	:	106 N THOMPSON ST STE 202
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-2720
Country	:	US
Telephone Number	:	804-248-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 N THOMPSON ST STE 202
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-2720
Country	:	US
Telephone Number	:	804-248-1488
Fax Number	:

Authorized Official
Title or Position	:	PARTNER OWNER PROVIDER OPERATOR
Name	:	KIMBERLY G SALE
Credential	:	LPC
Telephone Number	:	804-248-1488

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	09/15/2016

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