Provider Demographics
NPI:1043303043
Name:SMITHFIELD CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:SMITHFIELD CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROVIDER UNDER THIS NAME
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-356-1813
Mailing Address - Street 1:341 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-1345
Mailing Address - Country:US
Mailing Address - Phone:757-356-1813
Mailing Address - Fax:757-356-1813
Practice Address - Street 1:341 MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-1345
Practice Address - Country:US
Practice Address - Phone:757-356-1813
Practice Address - Fax:757-356-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002534101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA501315OtherVALUE OPTIONS
VA2079397OtherCIGNA BEHAVIORAL HEALTH
VA328563OtherANTHEM BCBS VA
VA344424OtherMANAGED HEALTH NETWORK
VA7538182OtherAETNA
VA086341OtherOPTIMA/SENTARA
VA368984OtherALLIANCE/MAPSI