| Abingdon Center Counseling Group, Inc. | |
|
350 Russell Road Abingdon VA 24210-2761 | |
| (276) 628-1664 | |
| (276) 628-9875 |
| Full Name | Abingdon Center Counseling Group, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 350 Russell Road, Abingdon, Virginia |
| Authorized Official Name and Position | Lynda S Warner (V-PRES) |
| Authorized Official Contact | 2766281664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abingdon Center Counseling Group, Inc. Po Box 1443 Abingdon VA 24212-1443 Ph: (276) 628-1664 | Abingdon Center Counseling Group, Inc. 350 Russell Road Abingdon VA 24210-2761 Ph: (276) 628-1664 |
| NPI Number | 1770655409 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 11/17/2016 |
| Medicare PECOS PAC ID | 6406831825 |
|---|---|
| Medicare Enrollment ID | O20040621001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770655409 | NPI | - | NPPES |
| 270245 | Other | VA | MANAGED HEALTH NETWORK |
| 344078 | Other | VA | MAMSI OPTIMUM CHOICE |
| 860436 | Other | VA | SENTARA OPTIMA |
| 146957000 | Other | VA | MAGELLAN |
| 061980 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lynda Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144302076 PECOS PAC ID: 9335314954 Enrollment ID: I20111209000633 |
| Provider Name | Susan S Helton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396824769 PECOS PAC ID: 2264608579 Enrollment ID: I20120106000579 |
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