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NPI Code Detail

MEDICARE: FOOTSTEPS COUNSELING CENTER

MEDICARE: FOOTSTEPS COUNSELING CENTER
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1738019000OTHERVAMAGELLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669556585
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOTSTEPS COUNSELING CENTER
Provider Business Mailing Address
First Line : 6851 COURTHOUSE RD STE 300
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-5308
Country : US
Telephone Number : 804-715-3215
Fax Number : 804-715-3233
Provider Business Practice Location Address
First Line : 6851 COURTHOUSE RD STE 300
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-5308
Country : US
Telephone Number : 804-715-3215
Fax Number : 804-715-3233
Authorized Official
Title or Position : DIRECTOR
Name : MRS. CHERIE NUCKOLS
Credential : LCSW
Telephone Number : 804-715-3215
Provider Enumeration Date : 10/25/2006
Last Update Date : 05/05/2014

Similar Medicare Providers

1275508046 — MRS. CHERIE G. NUCKOLS LCSW
Practice Location Address:
6851 COURTHOUSE RD
CHESTERFIELD, VA
23832-5308
Practice Phone: 804-715-3215
Practice Fax: 804-715-3233
1720054158 — MRS. MARGARET J ST.CLAIR MS, LPC
Practice Location Address:
6851 COURTHOUSE RD , SUITE 300
CHESTERFIELD, VA
23832-5308
Practice Phone: 804-715-3215
Practice Fax:
1902821879 — SHANA B THELL MSW, LICSW
Practice Location Address:
6851 COURTHOUSE RD , FOOTSTEPS COUNSELING CENTER, SUITE 300
CHESTERFIELD, VA
23832-5308
Practice Phone: 804-715-3215
Practice Fax: 804-715-3233
1104928696 — MS. KAREN RUTH EVANS LCSW
Practice Location Address:
6851 COURTHOUSE RD
CHESTERFIELD, VA
23832-5308
Practice Phone: 804-715-3215
Practice Fax: 804-715-3233
1912095118 — MRS. LESLIE ALISON ROBINSON LPC
Practice Location Address:
6851 COURTHOUSE RD STE 300
CHESTERFIELD, VA
23832-5308
Practice Phone: 804-715-3215
Practice Fax: 804-715-3233
1477747657 — MRS. SUSAN F. SHIFLETT LPC
Practice Location Address:
6851 COURTHOUSE RD , SUITE 300
CHESTERFIELD, VA
23832-5308
Practice Phone: 804-715-3215
Practice Fax: 804-715-3233

Directions to “FOOTSTEPS COUNSELING CENTER ” Practice Location

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