MEDICARE: THINKWELL COUNSELING AND CONSULTING

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1700731023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THINKWELL COUNSELING AND CONSULTING

Provider Business Mailing Address
First Line	:	1 PARK WEST CIR STE 306N
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-5552
Country	:	US
Telephone Number	:	804-372-7712
Fax Number	:	804-254-6101

Provider Business Practice Location Address
First Line	:	1 PARK WEST CIR STE 306N
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-5552
Country	:	US
Telephone Number	:	804-372-7712
Fax Number	:	804-254-6101

Authorized Official
Title or Position	:	FOUNDER
Name	:	EURONDA TRAVIS
Credential	:	LPC
Telephone Number	:	804-437-8157

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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