Provider Demographics
NPI:1366159766
Name:ALBEMARLE COUNSELING LLC
Entity type:Organization
Organization Name:ALBEMARLE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:CLAUDIA
Authorized Official - Last Name:LINEWEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-409-9435
Mailing Address - Street 1:1 BOARS HEAD LN STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4681
Mailing Address - Country:US
Mailing Address - Phone:434-409-9435
Mailing Address - Fax:
Practice Address - Street 1:1 BOARS HEAD LN STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4681
Practice Address - Country:US
Practice Address - Phone:434-409-9435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty