3 Dimensions Counseling Services, LLC
Organization Active NPI Professional Counselor · Petersburg, VA
NPI 1497514368 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1497514368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- 3 DIMENSIONS COUNSELING SERVICES, LLC
- Practice address
- 3287 S Crater Rd
Petersburg, VA 23805-9216 - Phone
- (804) 835-4242
- Fax
- (804) 324-5487
- NPI assigned
- Mar 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Odessa Brittenum, LPC
- Title
- Owner
- Phone
- (804) 835-4242
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260501001007 | VA | Part B Supplier - Clinic/Group Practice | 1052889656 |
Receives reassigned benefits from 1 practitioner Practice locations: Petersburg, VA |
National Provider Directory
Locations
3287 S Crater Rd
Petersburg, VA 23805
Phone (804) 835-4242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
3287 S Crater Rd
Petersburg, VA 23805-9216
Mailing address
PO Box 1904
Petersburg, VA 23805-0904
Phone (804) 835-4242
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.