Organization · Type 2 NPI

Southside Counseling Center, LLC

Professional Counselor · Suffolk, VA

NPI number 1801968987 Active

Practice location

6072 Godwin Blvd
Suffolk, VA 23432-1012

Fax (757) 255-7009

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X0701003187 (VA)
Professional Counselor 101YP2500X0701002307 (VA)
Professional Counselor Primary 101YP2500X0701003999 (VA)
Clinical Child & Adolescent Psychologist 103TC2200X0810001984 (VA)
Marriage & Family Therapist 106H00000X0717001033 (VA)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1801968987

Southside Counseling Center, LLC's National Provider Identifier is 1801968987, issued on Nov 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suffolk, VA. The record was last updated on Sep 11, 2025.