Provider Demographics
NPI:1093530974
Name:INTERTWINED COUNSELING CO. LLC
Entity type:Organization
Organization Name:INTERTWINED COUNSELING CO. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:757-633-1749
Mailing Address - Street 1:1033 BLAIRMORE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-6709
Mailing Address - Country:US
Mailing Address - Phone:757-633-1749
Mailing Address - Fax:757-720-3543
Practice Address - Street 1:1033 BLAIRMORE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-6709
Practice Address - Country:US
Practice Address - Phone:757-633-1749
Practice Address - Fax:757-720-3543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty