Organization
TEAM COUNSELING AND PSYCHOLOGICAL SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLYNN PHILLIS SMALL PHD (PRESIDENT/CEO)
(804) 967-0936
Entity
Organization
Contact information
Practice address
10712 TOSTON LN, GLEN ALLEN, VA 23060-6496
(804) 967-0936
(804) 967-2151
Mailing address
10712 TOSTON LN, GLEN ALLEN, VA 23060-6496
(804) 967-0936
(804) 967-2151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0810004046
VA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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