Organization
MIDDLE PENINSULA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ELLIS SCHUBERT PH.D., LPC (SOLE MEMBER)
(804) 201-3604
Entity
Organization
Contact information
Practice address
12156 FOX MILL RUN LN, ASHLAND, VA 23005-3056
(804) 201-3604
Mailing address
PO BOX 611, NORTH, VA 23128-0611
(804) 201-3604
(855) 440-1404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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