# 108 COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 108 Counseling , LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053874370
- **Authorized official:** STEPHANIE MCNAMARA (CREDENTIALING MANAGER)
- **Authorized official phone:** (804) 221-2042

## Contact information

- **Practice address:** 8710 CHOCTAW RD STE 6A, NORTH CHESTERFIELD, VA 23235-3472
- **Practice address phone:** (646) 256-5103
- **Mailing address:** 8710 CHOCTAW RD STE 6A, NORTH CHESTERFIELD, VA 23235-3472
- **Mailing address phone:** (646) 256-5103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 04/12/2019