| Arts For Replenishment And Change, Pllc | |
|
530 E Main St Ste 420 Richmond VA 23219-2431 | |
| (804) 305-2295 | |
| (804) 525-5656 |
| Full Name | Arts For Replenishment And Change, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 530 E Main St Ste 420, Richmond, Virginia |
| Authorized Official Name and Position | Anne (annie) Ready Coffey (FOUNDER) |
| Authorized Official Contact | 8043052295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arts For Replenishment And Change, Pllc 530 E Main St Ste 420 Richmond VA 23219-2431 Ph: (804) 305-2295 | Arts For Replenishment And Change, Pllc 530 E Main St Ste 420 Richmond VA 23219-2431 Ph: (804) 305-2295 |
| NPI Number | 1104067495 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 02/22/2018 |
| Medicare PECOS PAC ID | 7012278674 |
|---|---|
| Medicare Enrollment ID | O20180223000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104067495 | NPI | - | NPPES |
| 089494 | Other | OPTIMA HEALTH | |
| 11617310 | Other | CAQH | |
| 61-90123 | Other | OPTIMUM CHOICE | |
| 089494 | Other | SENTARA | |
| 010324122 | Medicaid | VA | |
| 1255361200 | Other | VA | NPI |
| 61-90123 | Other | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0810002538 (Virginia) | Primary |
| Provider Name | Anne R Coffey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255361200 PECOS PAC ID: 4981929395 Enrollment ID: I20150205002300 |
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