Team Counseling and Psychological Services, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0810004046 Issued in VA

Legal business name

TEAM COUNSELING AND PSYCHOLOGICAL SERVICES, INCORPORATED

Practice address

10712 Toston LN
Glen Allen, VA 23060-6496

Phone

(804) 967-0936

Fax

(804) 967-2151

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charlynn Phillis Small, PHD

Title

President/Ceo

Phone

(804) 967-0936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1801100862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 TOSTON LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606496",
            "telephone_number": "804-967-0936",
            "fax_number": "804-967-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10712 TOSTON LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606496",
            "telephone_number": "804-967-0936",
            "fax_number": "804-967-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM COUNSELING AND PSYCHOLOGICAL SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "CHARLYNN",
        "authorized_official_middle_name": "PHILLIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-967-0936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0810004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Emanuelle Tartakovsky, LPC
• Elmamarie Lynn Tatum
• Carla Taylor, LSATP
• Caroline Taylor, ATC
• Joshua K Taylor, LCSW
• Cynthia L Terraciano, LCSW
• Thomas L Terraciano, PHD
• Deena A Terrell, LCSW
• Nidhi Tewari, LCSW
• Phu Trung Thai, PHARM.D.

• Community/Behavioral Health Agency in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.