| Action Home-based Counseling, Inc. | |
|
104a Homestead Dr Forest VA 24551-4041 | |
| (434) 610-0921 | |
| Not Available |
| Full Name | Action Home-based Counseling, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104a Homestead Dr, Forest, Virginia |
| Authorized Official Name and Position | Brandi Lynne Creasy (PRESIDENT) |
| Authorized Official Contact | 4346100921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Action Home-based Counseling, Inc. 104a Homestead Dr Forest VA 24551-4041 Ph: (434) 610-0921 | Action Home-based Counseling, Inc. 104a Homestead Dr Forest VA 24551-4041 Ph: (434) 610-0921 |
| NPI Number | 1699977504 |
|---|---|
| Provider Enumeration Date | 06/03/2007 |
| Last Update Date | 10/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699977504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701003732 (Virginia) | Primary |
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