Provider Demographics
NPI:1992919062
Name:DIALOGUE PATORAL COUNSELING CENTER INC.
Entity type:Organization
Organization Name:DIALOGUE PATORAL COUNSELING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRERCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-377-1184
Mailing Address - Street 1:7010 MONUMENT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3547
Mailing Address - Country:US
Mailing Address - Phone:804-377-1184
Mailing Address - Fax:804-377-6118
Practice Address - Street 1:7010 MONUMENT AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3547
Practice Address - Country:US
Practice Address - Phone:804-377-1184
Practice Address - Fax:804-377-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001951101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty