Afton Cordoba LLC

Key facts

NPI

1033875083

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

AFTON CORDOBA LLC

Practice address

2031 Dunwood Dr
Crozet, VA 22932-1576

Phone

(469) 338-1147

NPI assigned

Nov 15, 2021

Organization subpart

No

Authorized official

Name

Mrs. Afton Cordoba, LPC NPI 1356885321

Title

Owner

Phone

(469) 338-1147

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Afton Michelle Cordoba, LPC Counselor · Crozet, VA · NPI 1356885321
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2021.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1033875083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 DUNWOOD DR",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321576",
            "telephone_number": "469-338-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 DUNWOOD DR",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321576",
            "telephone_number": "469-338-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTON CORDOBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "CORDOBA",
        "authorized_official_first_name": "AFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-338-1147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "Behavioral Health EHR/EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2031 Dunwood Dr",
            "city": "Crozet",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229321576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crozet, VA

• Jane R Addison
• Susan B. Albaugh, PH.D., CCC-SLP
• Aligned Clinical & Educational Services
• Justin Allen
• Bettina L. Andersen, PT
• Morganne Tamsen Ashlie, M.S.

All providers in Crozet, VA · Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia