MEDICARE: TALK IT OUT COUNSELING SERVICES 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	251S00000X	Community/Behavioral Health Agency
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1285440560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALK IT OUT COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	20 E TABB ST STE 205
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-4560
Country	:	US
Telephone Number	:	804-536-5066
Fax Number	:	202-545-3413

Provider Business Practice Location Address
First Line	:	20 E TABB ST STE 205
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-4560
Country	:	US
Telephone Number	:	804-536-5066
Fax Number	:	202-545-3413

Authorized Official
Title or Position	:	OWNER
Name	:	CASSANDRA MERRICK
Credential	:	LPC
Telephone Number	:	804-536-5066

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	06/05/2026

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