# GATEWAY COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway Youth Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891053344
- **Authorized official:** DR. KATHLEEN A FITZSIMMONS DR./LPC (CAO/CLINICAL DIRECTOR)
- **Authorized official phone:** (703) 309-9852

## Contact information

- **Practice address:** 400 HOPE ROAD, STAFFORD, VA 22554
- **Practice address phone:** (703) 309-9852
- **Mailing address:** PO BOX 547, STAFFORD, VA 22555
- **Mailing address phone:** (703) 309-9852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 04/09/2024