# ALPHA COUNSELING ASSO PLLC

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

## Provider details

- **NPI number:** 1700987419
- **Authorized official:** MS. MARTY MONTGOMERY-JENNINGS MA LCSW (CEO PRESIDENT)
- **Authorized official phone:** (804) 598-9105

## Contact information

- **Practice address:** 2142 PLAINVIEW CENTER, POWHATAN, VA 23139
- **Practice address phone:** (804) 598-9105
- **Practice address fax:** (804) 598-6379
- **Mailing address:** PO BOX 554, POWHATAN, VA 23139
- **Mailing address phone:** (804) 598-9105
- **Mailing address fax:** (804) 598-6379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 0904005352 | VA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 07/16/2008
