Provider Demographics
NPI:1396318812
Name:WYCHE COUNSELING SERVICES
Entity type:Organization
Organization Name:WYCHE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WYCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-336-7837
Mailing Address - Street 1:800 SHADY LANE AVE
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-1919
Mailing Address - Country:US
Mailing Address - Phone:434-336-7837
Mailing Address - Fax:434-201-7488
Practice Address - Street 1:800 SHADY LANE AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1919
Practice Address - Country:US
Practice Address - Phone:434-336-7837
Practice Address - Fax:434-201-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty