Organization
TWIN COUNTY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE JEANINE SLATE LPC (OWNER)
(276) 233-8451
Entity
Organization
Contact information
Practice address
487 STONE BROOK DR, GALAX, VA 24333-6227
(276) 233-3763
(276) 236-8880
Mailing address
487 STONE BROOK DR, GALAX, VA 24333-6227
(276) 233-3764
(276) 236-8880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601027524
—
VA
Enumeration date
10/19/2018
Last updated
04/05/2019
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