Provider Demographics
NPI:1841839008
Name:C&S HOLISTIC COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:C&S HOLISTIC COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANTORA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLISS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-782-4070
Mailing Address - Street 1:603 J CLYDE MORRIS BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1826
Mailing Address - Country:US
Mailing Address - Phone:757-782-4070
Mailing Address - Fax:757-606-1996
Practice Address - Street 1:603 J CLYDE MORRIS BLVD STE 3
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1826
Practice Address - Country:US
Practice Address - Phone:757-817-2330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-04
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty