Organization
PEACHTREE COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH M. MAXEY PHD (PRESIDENT)
(434) 239-1928
Entity
Organization
Contact information
Practice address
798 LEESVILLE ROAD, LYNCHBURG, VA 24502
(434) 239-1928
(434) 239-8779
Mailing address
798 LEESVILLE ROAD, LYNCHBURG, VA 24502
(434) 239-1928
(434) 239-8779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC/BS8VA
ANTHEM BC/BS
VA
Enumeration date
06/23/2009
Last updated
06/23/2009
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