| Blue Ridge Wellness Center Ltd | |
|
325 E Church St Martinsville VA 24112-2928 | |
| (276) 666-2605 | |
| (276) 632-2991 |
| Full Name | Blue Ridge Wellness Center Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 325 E Church St, Martinsville, Virginia |
| Authorized Official Name and Position | Julia Lumsden Hall (PRESIDENT) |
| Authorized Official Contact | 2766662605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Wellness Center Ltd 325 E Church St Martinsville VA 24112-2928 Ph: (276) 666-2605 | Blue Ridge Wellness Center Ltd 325 E Church St Martinsville VA 24112-2928 Ph: (276) 666-2605 |
| NPI Number | 1992981070 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 01/18/2008 |
| Medicare PECOS PAC ID | 6406833813 |
|---|---|
| Medicare Enrollment ID | O20040702000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992981070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904000480 (Virginia) | Primary |
| Provider Name | Julia L Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497778708 PECOS PAC ID: 3476530882 Enrollment ID: I20040709000037 |
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