Provider Demographics
NPI:1588395222
Name:RVA THERAPEUTIC COUNSELING PLC
Entity type:Organization
Organization Name:RVA THERAPEUTIC COUNSELING PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZITO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-210-5448
Mailing Address - Street 1:1900 E CARY ST APT 309A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-6991
Mailing Address - Country:US
Mailing Address - Phone:804-400-9253
Mailing Address - Fax:
Practice Address - Street 1:600 FOUNDERS BRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6309
Practice Address - Country:US
Practice Address - Phone:804-210-5448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty