| Angela Revercomb Lpc Llc | |
|
3111 Northside Ave Ste 375 Henrico VA 23228-5441 | |
| (804) 955-8617 | |
| Not Available |
| Full Name | Angela Revercomb Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 3111 Northside Ave Ste 375, Henrico, Virginia |
| Authorized Official Name and Position | Angela Revercomb (OWNER/PROVIDER) |
| Authorized Official Contact | 8049558617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Revercomb Lpc Llc 7901 Anoka Rd Richmond VA 23229-3305 Ph: (804) 229-3172 | Angela Revercomb Lpc Llc 3111 Northside Ave Ste 375 Henrico VA 23228-5441 Ph: (804) 955-8617 |
| NPI Number | 1386405645 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 1951747880 |
|---|---|
| Medicare Enrollment ID | O20240313002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386405645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Angela L Revercomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700057825 PECOS PAC ID: 5597101428 Enrollment ID: I20240313002731 |
Youth And Family Dynamics Mental Health Support, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5741 S Laburnum Ave, Suite #111, Henrico, VA 23231 Phone: 804-477-3065 Fax: 804-477-3092 | |
Srm Healthcare Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6037 Hare Rd, Henrico, VA 23231 Phone: 804-939-0092 | |
Knh Therapeutic Solutions L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7009 Hapsburg Ct., Henrico, VA 23231 Phone: 703-909-8894 | |
P.u.l.s.e Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Williamsburg Rd Ste H, Henrico, VA 23231 Phone: 804-997-4476 | |
Behavioral Health Services Of Virginia Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8604 Pennsbury Pl Apt 3, Henrico, VA 23294 Phone: 804-873-5502 Fax: 540-908-3965 | |
Healing 180, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10705 Charlesfield Ct, Henrico, VA 23238 Phone: 804-665-4750 | |
Saints Community Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2127 New Market Village Blvd, Henrico, VA 23231 Phone: 804-274-9338 |