# AVENUE COUNSELING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386513810
- **Authorized official:** DOMINIQUE JEROLDINE LEON BLACK LCSW (OWNER/CLINICIAN)
- **Authorized official phone:** (540) 219-3247

## Contact information

- **Practice address:** 6216 SCOTTSVILLE RD, JEFFERSONTON, VA 22724-2342
- **Practice address phone:** (540) 219-3247
- **Mailing address:** 6216 SCOTTSVILLE RD, JEFFERSONTON, VA 22724-2342
- **Mailing address phone:** (540) 219-3247

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2025
- **Last updated:** 11/03/2025