| Beyond The Couch, Llc | |
|
18138 Camdenhurst Dr Gainesville VA 20155-6240 | |
| (571) 310-0538 | |
| Not Available |
| Full Name | Beyond The Couch, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 18138 Camdenhurst Dr, Gainesville, Virginia |
| Authorized Official Name and Position | Jewelle Daquin (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 5713100538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Couch, Llc 18138 Camdenhurst Dr Gainesville VA 20155-6240 Ph: (571) 310-0538 | Beyond The Couch, Llc 18138 Camdenhurst Dr Gainesville VA 20155-6240 Ph: (571) 310-0538 |
| NPI Number | 1871101204 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871101204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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