Organization
IVY COUNSELING CENTER LLC
Active
Other names
Ivy Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARSHEIA L JONES (LPC/OWNER)
(804) 312-7469
Entity
Organization
Contact information
Practice address
20 E TABB ST, SUITE 100, PETERSBURG, VA 23803-4541
(804) 312-7469
Mailing address
308 NEW CASTLE DR, COLONIAL HEIGHTS, VA 23834-2415
(804) 312-7469
(804) 957-4535
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701006383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366982936
—
VA
Enumeration date
03/31/2017
Last updated
03/31/2017
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