Provider Demographics
NPI:1699523530
Name:ESSENTIAL COUNSELING GROUP
Entity type:Organization
Organization Name:ESSENTIAL COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCITINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-237-4258
Mailing Address - Street 1:4601 STATION HOUSE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-2511
Mailing Address - Country:US
Mailing Address - Phone:757-237-4258
Mailing Address - Fax:757-238-5442
Practice Address - Street 1:4601 STATION HOUSE RD STE 105
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-2511
Practice Address - Country:US
Practice Address - Phone:757-237-4258
Practice Address - Fax:757-238-5442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)