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Organization

COUNSEL CONNECT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRITNI HIGGINBOTHAM (EXECUTIVE DIRECTOR, OWNER)
(804) 926-0587
Entity
Organization

Contact information

Practice address
3604 E. RIVER ROAD, SOUTH CHESTERFIELD, VA 23803
(804) 898-3800
(804) 392-5607
Mailing address
6819 BIXBY LN, CHESTERFIELD, VA 23838-6002

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30015311070003
VA
Enumeration date
02/11/2019
Last updated
01/14/2025
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