| Behavioral & Counseling Services Of Hanover, Llc | |
|
9044 Mann Dr Mechanicsville VA 23116-2312 | |
| (804) 647-9802 | |
| (804) 746-5150 |
| Full Name | Behavioral & Counseling Services Of Hanover, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9044 Mann Dr, Mechanicsville, Virginia |
| Authorized Official Name and Position | Jennifer G Diehl (SOLE PROPRIETOR) |
| Authorized Official Contact | 8046479802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral & Counseling Services Of Hanover, Llc Po Box 3372 Mechanicsville VA 23116-0032 Ph: (804) 647-9802 | Behavioral & Counseling Services Of Hanover, Llc 9044 Mann Dr Mechanicsville VA 23116-2312 Ph: (804) 647-9802 |
| NPI Number | 1073932604 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/10/2014 |
| Medicare PECOS PAC ID | 3577786805 |
|---|---|
| Medicare Enrollment ID | O20140514000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073932604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004730 (Virginia) | Primary |
| Provider Name | Jennifer G Diehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942307061 PECOS PAC ID: 6800019175 Enrollment ID: I20140515001798 |
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