| Advantage Counseling Services Llc | |
|
71 Wilson Blvd Suite A01 Fishersville VA 22939 | |
| (540) 836-3659 | |
| (434) 465-6950 |
| Full Name | Advantage Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 71 Wilson Blvd, Fishersville, Virginia |
| Authorized Official Name and Position | Mary Powell (OWNER/ PROVIDER) |
| Authorized Official Contact | 5408363659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Counseling Services Llc 1233 Frederick St Waynesboro VA 22980-5507 Ph: (540) 836-3659 | Advantage Counseling Services Llc 71 Wilson Blvd Suite A01 Fishersville VA 22939 Ph: (540) 836-3659 |
| NPI Number | 1386418358 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Medicare PECOS PAC ID | 5991145179 |
|---|---|
| Medicare Enrollment ID | O20240506000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386418358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary E K Powell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114469988 PECOS PAC ID: 9032559224 Enrollment ID: I20240506000773 |
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