Provider Demographics
NPI:1720749203
Name:CALMED COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:CALMED COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:704-579-2773
Mailing Address - Street 1:300 SEQUOIA CIR NW
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-5722
Mailing Address - Country:US
Mailing Address - Phone:704-579-2773
Mailing Address - Fax:
Practice Address - Street 1:103 S HILL DR STE A
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-5709
Practice Address - Country:US
Practice Address - Phone:704-579-2773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)