Provider Demographics
NPI:1720714231
Name:VIRGINIA COUNSELING PROFESSIONALS
Entity type:Organization
Organization Name:VIRGINIA COUNSELING PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:MCKEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-304-6373
Mailing Address - Street 1:5840 HAWTHORN LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-8038
Mailing Address - Country:US
Mailing Address - Phone:561-379-2737
Mailing Address - Fax:
Practice Address - Street 1:5840 HAWTHORN LN
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-8038
Practice Address - Country:US
Practice Address - Phone:561-379-2737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty