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NPI Code Detail

MEDICARE: ENLIGHTENMENT COUNSELING SERVICES, LLC

MEDICARE: ENLIGHTENMENT 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1538422514
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENLIGHTENMENT COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 9428
Second Line :
City : HENRICO
State : VA
Zip : 23228-0428
Country : US
Telephone Number : 804-564-9940
Fax Number :
Provider Business Practice Location Address
First Line : 1518 WILLOW LAWN DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3419
Country : US
Telephone Number : 804-564-9940
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ERIKA NICOLE BROOKS
Credential : LPC, CSAC
Telephone Number : 804-564-9940
Provider Enumeration Date : 06/24/2012
Last Update Date : 06/24/2012

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Directions to “ENLIGHTENMENT COUNSELING SERVICES, LLC ” Practice Location

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