| Beacon Counseling Group | |
|
74 Scruggs Rd Ste 104 Moneta VA 24121-6330 | |
| (540) 339-6308 | |
| Not Available |
| Full Name | Beacon Counseling Group |
|---|---|
| Speciality | Social Worker |
| Location | 74 Scruggs Rd Ste 104, Moneta, Virginia |
| Authorized Official Name and Position | Lynne Johnson (OWNER) |
| Authorized Official Contact | 5403396308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Counseling Group 74 Scruggs Rd Ste 104 Moneta VA 24121-6330 Ph: (540) 339-6308 | Beacon Counseling Group 74 Scruggs Rd Ste 104 Moneta VA 24121-6330 Ph: (540) 339-6308 |
| NPI Number | 1376137398 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 1951717453 |
|---|---|
| Medicare Enrollment ID | O20210309000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376137398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lynne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295009421 PECOS PAC ID: 9133535644 Enrollment ID: I20210309000068 |
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