Alternative Counseling Group, LLC
Organization Active NPI Community/Behavioral Health Agency · Chester, VA
NPI 1295917359 · NPPES record last updated Nov 30, 2007
Key facts
- NPI
- 1295917359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 78605001 (VA)
- Legal business name
- ALTERNATIVE COUNSELING GROUP, LLC
- Practice address
- 4525 W Hundred Rd
Chester, VA 23831-1741 - Phone
- (804) 586-1091
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Anthony Thomas, LPC
- Title
- Executive Director
- Phone
- (804) 586-1091
National Provider Directory
Locations
4525 W Hundred Rd
Chester, VA 23831
Phone (804) 778-7645
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 78605001 | VA | Yes |
Addresses
Primary practice location
4525 W Hundred Rd
Chester, VA 23831-1741
Mailing address
4525 W Hundred Rd
Chester, VA 23831-1741
Phone (804) 586-1091
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101111692 | Medicaid | VA |
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All providers in Chester, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.