Organization
POWHATAN FAMILY COUNSELING AND EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA L BRIDGES (BOOKKEEPER)
(804) 598-9577
Entity
Organization
Contact information
Practice address
2156 PLAINVIEW CENTER, POWHATAN, VA 23139
(804) 598-9577
(804) 598-0086
Mailing address
2156 PLAINVIEW CENTER, POWHATAN, VA 23139
(804) 598-9577
(804) 598-0086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0810000169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007712626
—
VA
01
—
259170
ANTHEM
VA
Enumeration date
06/29/2007
Last updated
04/13/2009
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