Provider Demographics
NPI:1891682613
Name:BATES COUNSELING & CONSULTATION SERVICES LLC
Entity type:Organization
Organization Name:BATES COUNSELING & CONSULTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:434-365-9658
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:FORK UNION
Mailing Address - State:VA
Mailing Address - Zip Code:23055-0024
Mailing Address - Country:US
Mailing Address - Phone:434-365-9658
Mailing Address - Fax:
Practice Address - Street 1:305 NEW FORK CHURCH LN
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-5337
Practice Address - Country:US
Practice Address - Phone:434-365-9658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty