Organization
TRAILMARKER CLINICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LAVALLE MSED, LPC, NCC (CLINICAL DIRECTOR)
(540) 300-5954
Entity
Organization
Contact information
Practice address
11709 RUTGERS DR, HENRICO, VA 23233-1697
(540) 840-5346
Mailing address
6841 FOREST HILL AVE UNIT 560, RICHMOND, VA 23225-1603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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