Provider Demographics
NPI:1215711635
Name:STORMS ASSESSMENTS AND COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:STORMS ASSESSMENTS AND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRIUS
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:BETHEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP-R
Authorized Official - Phone:434-222-5716
Mailing Address - Street 1:1937 ALLEN PL
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1093
Mailing Address - Country:US
Mailing Address - Phone:434-222-5716
Mailing Address - Fax:
Practice Address - Street 1:1937 ALLEN PL
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1093
Practice Address - Country:US
Practice Address - Phone:434-222-5716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health