Organization
COMMUNITY COUNSELING RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENELLE WRIGHT (N/A)
(757) 301-8849
Entity
Organization
Contact information
Practice address
780 LYNNHAVEN PKWY STE 380, VIRGINIA BEACH, VA 23452-7332
(757) 515-4648
(757) 257-0001
Mailing address
600 CRAWFORD ST STE 220, PORTSMOUTH, VA 23704-3820
(757) 488-4797
(757) 488-4716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
1680
VA
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821435694
—
VA
Enumeration date
06/03/2013
Last updated
07/23/2019
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