Peaced Together Counseling & Consultation, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007634 Issued in VA

Legal business name

PEACED TOGETHER COUNSELING & CONSULTATION, PLLC

Practice address

2308 Arkansas Ave
Norfolk, VA 23513-4506

Phone

(757) 602-0111

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Gore, LCSW

Title

Therapist/Owner

Phone

(757) 602-0111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1912433715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 ARKANSAS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134506",
            "telephone_number": "757-602-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 ARKANSAS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134506",
            "telephone_number": "757-602-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACED TOGETHER COUNSELING & CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "757-602-0111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.