| Appalachian Psychological Trauma Center | |
|
408 N Main St Suite A Hillsville VA 24343-1435 | |
| (276) 730-0548 | |
| (276) 730-0568 |
| Full Name | Appalachian Psychological Trauma Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 408 N Main St, Hillsville, Virginia |
| Authorized Official Name and Position | Jeanne Watson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2767300548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Psychological Trauma Center Po Box 100 Hillsville VA 24343-0100 Ph: (276) 730-0548 | Appalachian Psychological Trauma Center 408 N Main St Suite A Hillsville VA 24343-1435 Ph: (276) 730-0548 |
| NPI Number | 1275594582 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275594582 | NPI | - | NPPES |
| 087093M | Other | VA | SOUTHERN HEALTH |
| 201692 | Other | VALUE OPTIONS | |
| 437317 | Other | VA | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701000999 (Virginia) | Primary |
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