Provider Demographics
NPI:1720739873
Name:GEEL, LINDA SIMMONS (MA, LPC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SIMMONS
Last Name:GEEL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 GOVERNORS LN
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4694
Mailing Address - Country:US
Mailing Address - Phone:571-331-8809
Mailing Address - Fax:
Practice Address - Street 1:KAIROS COUNSELING
Practice Address - Street 2:1605A ENTERPRISE DR
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502
Practice Address - Country:US
Practice Address - Phone:434-319-5528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional