| Caison Counseling And Consulting Group Llc | |
|
2002 Bremo Rd Ste 204 Richmond VA 23226-2441 | |
| (804) 243-9062 | |
| Not Available |
| Full Name | Caison Counseling And Consulting Group Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2002 Bremo Rd Ste 204, Richmond, Virginia |
| Authorized Official Name and Position | Tamra Duke (OWNER) |
| Authorized Official Contact | 8042439062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caison Counseling And Consulting Group Llc 13501 Laughter Ct Chester VA 23831-5218 Ph: () - | Caison Counseling And Consulting Group Llc 2002 Bremo Rd Ste 204 Richmond VA 23226-2441 Ph: (804) 243-9062 |
| NPI Number | 1982063590 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 8325573652 |
|---|---|
| Medicare Enrollment ID | O20241124000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982063590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tamra M Duke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407171168 PECOS PAC ID: 9234664566 Enrollment ID: I20241124000197 |
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