Southwest Emdr Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTHWEST EMDR THERAPY LLC

Practice address

966 W Main St Ste 1
Abingdon, VA 24210-2483

Phone

(276) 207-8321

Fax

(888) 548-4146

NPI assigned

Sep 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristian Patrick Delaney, LPCNPI 1902944663

Title

Licensed Therapist

Phone

(276) 220-8456

Specialties & licenses 1

Addresses

Other names 1

• True North Counselors Doing business as

Practitioners 1

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

• Kristian Patrick Delaney, MS, LPC

  • Professional Counselor
  • Abingdon, VA
  • NPI 1902944663
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1689395600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-207-8321",
            "fax_number": "888-548-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-207-8321",
            "fax_number": "888-548-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EMDR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "276-220-8456",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Counselors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Smith
• Sydni Kaylyn Smith, MSW
• Damian Sooklal, MD
• Soulstice Nutrition LLC
• Southeastern Mobile Dental Services Inc
• Southwest Virginia Physicians for Women
• Jacob Sowder, LPC
• Kristen Leigh Sparks, FNP
• Anne Charlotte Squires, MD
• Chesley Stanley, FNP-C

• Mental Health Counselor in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.