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Organization

COMPASSIONATE COUNSELING COLLECTIVE OF VIRGINIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICAH FLEITMAN LPC (CO-OWNER)
(703) 732-6441
Entity
Organization

Contact information

Practice address
175 S PANTOPS DR STE 101, CHARLOTTESVILLE, VA 22911-8673
(434) 328-1040
Mailing address
175 S PANTOPS DR STE 101, CHARLOTTESVILLE, VA 22911-8673
(434) 328-1040

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083184733
NPI
VA
01
1194091769
NPI
VA
01
1437246014
NPI
VA
01
1629015706
NPI
VA
01
1790397925
NPI
VA
Enumeration date
12/01/2021
Last updated
10/14/2022
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