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Organization

COUNSELING ASSOCIATES OF WYTHEVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY SUE SCOTT NCC, LMFT, LPC (LICENSED PROFESSIONAL COUNSELOR)
(276) 223-4443
Entity
Organization

Contact information

Practice address
420 E MAIN ST, SUITE B, WYTHEVILLE, VA 24382-2328
(276) 223-4443
(276) 223-0133
Mailing address
420 E MAIN ST, SUITE B, WYTHEVILLE, VA 24382-2328
(276) 223-4443
(276) 223-0133

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001401
VA
106H00000X
Marriage & Family Therapist
Primary
0717000805
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023882
VMC BEHAVIORAL SERVICES
VA
01
039925
VALUE OPTIONS
VA
01
222129
PHCS
VA
01
2237697
CIGNA
VA
01
32272
MHN
VA
01
343697
MHN
VA
01
423453
MAMSI
VA
01
7805017
AETNA USHEALTHCARE
VA
01
O-86315
SENTARA
VA
01
VA0101
UBH, JOHN DEERE
VA
Enumeration date
12/09/2006
Last updated
09/11/2025
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