# DOCTOR MAYS-COUCH LLC

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

## Provider details

- **NPI number:** 1477296457
- **Authorized official:** SHELLEY MAYS-COUCH LCSW (CEO)
- **Authorized official phone:** (434) 315-1817

## Contact information

- **Practice address:** 1839 THOMAS JEFFERESON HWY, CHARLOTTE COURTHOUSE, VA 23923
- **Practice address phone:** (434) 542-3315
- **Mailing address:** PO BOX 32, FARMVILLE, VA 23901-0032
- **Mailing address phone:** (434) 542-3315

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2022
- **Last updated:** 04/18/2022