| Brainiac Neurofeedback Counseling And Coaching | |
|
9327 Ravensworth Ct Mechanicsville VA 23116-8708 | |
| (804) 357-2483 | |
| Not Available |
| Full Name | Brainiac Neurofeedback Counseling And Coaching |
|---|---|
| Speciality | Counselor |
| Location | 9327 Ravensworth Ct, Mechanicsville, Virginia |
| Authorized Official Name and Position | Cheryl North Desvernine (PRESIDENT) |
| Authorized Official Contact | 8043572483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainiac Neurofeedback Counseling And Coaching 9327 Ravensworth Ct Mechanicsville VA 23116-8708 Ph: () - | Brainiac Neurofeedback Counseling And Coaching 9327 Ravensworth Ct Mechanicsville VA 23116-8708 Ph: (804) 357-2483 |
| NPI Number | 1710631205 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 9830537265 |
|---|---|
| Medicare Enrollment ID | O20240404002371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710631205 | NPI | - | NPPES |
| 0701002731 | Other | VA | LICENSED PROFESSIONAL COUNSELOR |
| Provider Name | Cheryl N Desvernine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881630317 PECOS PAC ID: 4385082718 Enrollment ID: I20240404002674 |
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