| Building Bridges Counseling And Consulting, Llc | |
|
12023 Lynx Dr King George VA 22485-4165 | |
| (407) 091-4815 | |
| (855) 746-0800 |
| Full Name | Building Bridges Counseling And Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12023 Lynx Dr, King George, Virginia |
| Authorized Official Name and Position | Catherine Ann Powell (THERAPIST/OWNER) |
| Authorized Official Contact | 5407091481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Bridges Counseling And Consulting, Llc 12023 Lynx Dr King George VA 22485-4165 Ph: (540) 709-1481 | Building Bridges Counseling And Consulting, Llc 12023 Lynx Dr King George VA 22485-4165 Ph: (407) 091-4815 |
| NPI Number | 1184376980 |
|---|---|
| Provider Enumeration Date | 01/23/2022 |
| Last Update Date | 01/23/2022 |
| Certification Date | 01/23/2022 |
| Medicare PECOS PAC ID | 5294101697 |
|---|---|
| Medicare Enrollment ID | O20221025003461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184376980 | NPI | - | NPPES |
| 0904020189 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE |
| 1881193399 | Other | VA | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine Ann Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881193399 PECOS PAC ID: 4284035643 Enrollment ID: I20210623002773 |
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