| Alternative Counseling Group, Llc | |
|
4525 W Hundred Rd Chester VA 23831-1741 | |
| (804) 586-1091 | |
| Not Available |
| Full Name | Alternative Counseling Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4525 W Hundred Rd, Chester, Virginia |
| Authorized Official Name and Position | Michael Anthony Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8045861091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative Counseling Group, Llc 4525 W Hundred Rd Chester VA 23831-1741 Ph: (804) 586-1091 | Alternative Counseling Group, Llc 4525 W Hundred Rd Chester VA 23831-1741 Ph: (804) 586-1091 |
| NPI Number | 1295917359 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295917359 | NPI | - | NPPES |
| 0101111692 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 78605001 (Virginia) | Primary |
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