Provider Demographics
NPI:1962163873
Name:CONFLUENCE COUNSELING, LLC
Entity type:Organization
Organization Name:CONFLUENCE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:STAVRIANOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-337-1482
Mailing Address - Street 1:1125 LUKE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5617
Mailing Address - Country:US
Mailing Address - Phone:864-421-3938
Mailing Address - Fax:
Practice Address - Street 1:1125 LUKE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5617
Practice Address - Country:US
Practice Address - Phone:864-421-3938
Practice Address - Fax:757-799-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty