Everglow Counseling Collective, LLC
Organization Active NPI Mental Health Counselor · Wise, VA
NPI 1912899758 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1912899758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- EVERGLOW COUNSELING COLLECTIVE, LLC
- Practice address
- 6615 W Main St
Wise, VA 24293-7115 - Phone
- (276) 207-8316
- NPI assigned
- Jul 16, 2025
- Organization subpart
- No
Authorized official
- Name
- Marianna Skidmore, LPC
- Title
- Licensed Professional Counselor
- Phone
- (276) 220-0731
National Provider Directory
Locations
6615 W Main St
Wise, VA 24293
Phone (276) 207-8316
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
6615 W Main St
Wise, VA 24293-7115
Mailing address
1069 Crooked BR
Haysi, VA 24256-5108
Other providers in Wise, VA
- Madison Davis
- Diagnostic Sleep Disorder
- Phyllis Houston Dishner
- Chelsey Brooke Earl
- Shannon Escoffery
- Faithful Foundations Therapy LLC
- Family Preservation Services, Inc
- Destinee Eve Hunnicutt Fannon
- Friendship Ambulance Service Inc
- Friendship Home Health Inc
All providers in Wise, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.