Iliad Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ILIAD COUNSELING SERVICES LLC

Practice address

4000 Edinburgh CT
Suffolk, VA 23434-7055

Phone

(757) 774-8306

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Traci Danielle Richards, PHD, LPC, NCC, CCTPNPI 1639591399

Title

Owner

Phone

(757) 589-2973

Specialties & licenses 1

Addresses

Practitioners 1

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

• Traci Richards, LPC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1639591399
  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1760213243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTERBROOKE LANE",
            "address_2": "STE F #146",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348294",
            "telephone_number": "757-589-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EDINBURGH CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347055",
            "telephone_number": "757-774-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILIAD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-589-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mavolyn Jones Hurt, RN
• Melanie Huss, LPC
• Shannon Marie Husted, FNP-BC, MSN, BSN, RN
• Anne L Hutchinson, D.O.
• Wisal Ibraheem
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• Immaculate Care Transportation LLC
• Imperial Home Healthcare
• In Home Health LLC
• In-Home Support Services of Virginia LLC

• Mental Health Counselor in Suffolk, VA
• Providers in Suffolk, 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 Aug 8, 2024; 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.