| Beacon Counseling | |
|
1519 Huguenot Rd Ste 203 Midlothian VA 23113-2472 | |
| (804) 495-1301 | |
| (804) 302-6431 |
| Full Name | Beacon Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1519 Huguenot Rd Ste 203, Midlothian, Virginia |
| Authorized Official Name and Position | Katherine Albicker Wilson (OWNER/THERAPIST) |
| Authorized Official Contact | 8044951301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Counseling 1519 Huguenot Rd Ste 203 Midlothian VA 23113-2472 Ph: (804) 495-1301 | Beacon Counseling 1519 Huguenot Rd Ste 203 Midlothian VA 23113-2472 Ph: (804) 495-1301 |
| NPI Number | 1679103295 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 06/05/2021 |
| Certification Date | 06/05/2021 |
| Medicare PECOS PAC ID | 1355781295 |
|---|---|
| Medicare Enrollment ID | O20240425003180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679103295 | NPI | - | NPPES |
| 1629442967 | Medicaid | VA |
| Provider Name | Katherine Albicker Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629442967 PECOS PAC ID: 2264872100 Enrollment ID: I20240425003271 |
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