The Outreach Foundation, LLC
The Outreach Foundation, LLC is a Professional Counselor in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2011.
- Licensed in
- VA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
20 E Tabb St Ste 201Petersburg, VA 23803-4541
Phone: (888) 800-0040
Fax: (888) 800-0040
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 1630 (VA) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X (VA) |
Record details
| NPI number | 1588944151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Moore — Exec Officer · (888) 800-0040 |
| NPI enumerated | August 26, 2011 |
| Last updated in NPPES | April 10, 2012 |
| Mailing address | 20 E Tabb St, Suite 201, Petersburg, VA 23803-4541 |
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Charita Threatt, LPC
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Ebony Glynn Walker, LPC
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Evelyn V Whitehead, LPC
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