Organization · NPI-2

Cavcity Counseling INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Charlottesville, VA

NPI number1225661978
StatusActive
Last updated in NPPESFeb 20, 2020

Details

NPI
1225661978
Entity type
Organization (NPI-2)
Legal business name
Cavcity Counseling INC.
Organization subpart
No
Enumeration date
Feb 20, 2020
Certification date
Feb 20, 2020
Last updated
Feb 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

1020 Carrington Pl Fl 2
Charlottesville, VA 22901-1891

Phone 434-409-1433

Mailing address

1695 Sourwood Pl
Charlottesville, VA 22911-7423

Phone 434-409-1433

Authorized official

Kevin Lamont Carter
Owner
4344091433

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