Carlita Coley, LPC

Individual provider Active NPI Professional Counselor · Montross, VA

NPI 1629315957 · NPPES record last updated Mar 11, 2024

Key facts

NPI
1629315957
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701009219 (VA)
Practice address
90 Ships Row
Montross, VA 22520-4047
Phone
(804) 456-8959
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37PC00799300NJMDProfessional Counselor
0701009219VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carlita Coley & Associates Current
since Mar 17, 2024
Accepting new patients

Locations

6841 Forest Hill Ave
Richmond, VA 23225
Phone (804) 509-1559

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009219 VA Yes
Professional Counselor 101YP2500X 37PC00799300 NJ

Addresses

Primary practice location

90 Ships Row
Montross, VA 22520-4047

Mailing address

PO Box 379
Mount Holly, VA 22524-0379
Phone (804) 456-8959

Other providers in Montross, VA

All providers in Montross, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.