MEDICARE: CONSULTING AND COACHING PLLC

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

General Provider Information

NPI Number	:	1609637362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULTING AND COACHING PLLC

Provider Business Mailing Address
First Line	:	2405 WESTWOOD AVE STE C
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4006
Country	:	US
Telephone Number	:	804-518-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 WESTWOOD AVE STE C
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4006
Country	:	US
Telephone Number	:	804-518-6727
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. A'TASHA M CHRISTIAN
Credential	:	LPC
Telephone Number	:	804-518-6727

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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