Provider Demographics
NPI:1316763790
Name:ROYAL CARE COUNSELING GROUP SERVICES LLC
Entity type:Organization
Organization Name:ROYAL CARE COUNSELING GROUP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-343-8839
Mailing Address - Street 1:11806 GOLDEN EAGLE CT # A
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1056
Mailing Address - Country:US
Mailing Address - Phone:571-343-8839
Mailing Address - Fax:
Practice Address - Street 1:10560 MAIN ST STE 416
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7174
Practice Address - Country:US
Practice Address - Phone:571-343-8839
Practice Address - Fax:571-343-8839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty