Organization
PROMINENT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FREDERICK (CEO)
(804) 716-8908
Entity
Organization
Contact information
Practice address
555 SOUTHLAKE BLVD STE D, NORTH CHESTERFIELD, VA 23236-3060
(804) 716-8908
(866) 216-5506
Mailing address
555 SOUTHLAKE BLVD STE D, NORTH CHESTERFIELD, VA 23236-3060
(804) 716-8908
(866) 216-5506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/31/2018
Last updated
02/24/2026
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