Organization
EMERGENT COUNSELING SERVICES LLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES INGRAM LCSW (OWN ER)
(804) 475-0099
Entity
Organization
Contact information
Practice address
4637 BRIARWOOD DR, CHARLOTTESVILLE, VA 22911-8375
(804) 475-0099
Mailing address
4637 BRIARWOOD DR, CHARLOTTESVILLE, VA 22911-8375
(804) 475-0099
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
0904010031
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
094010031
VA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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