Organization
GARDNER COUNSELING SERVICES
Active
Organization
GARDNER COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE C GARDNER (OWNER)
(434) 390-3512
Entity
Organization
Contact information
Practice address
218 MAPLE VALLEY RD, TAPPAHANNOCK, VA 22560-5662
(434) 390-3512
(804) 442-7081
Mailing address
218 MAPLE VALLEY RD, TAPPAHANNOCK, VA 22560-5662
(434) 390-3512
(804) 442-7081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015019600002
—
VA
Enumeration date
09/18/2018
Last updated
06/18/2026
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