| Calm Waters Counseling, Llc | |
|
2025 E Main St Ste 216 Richmond VA 23223-7073 | |
| (510) 776-3984 | |
| (888) 519-4656 |
| Full Name | Calm Waters Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2025 E Main St Ste 216, Richmond, Virginia |
| Authorized Official Name and Position | Marlin A Metters (OWNER) |
| Authorized Official Contact | 5107763984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Counseling, Llc 3024 Cone Manor Ln Raleigh NC 27613-6604 Ph: (510) 776-3984 | Calm Waters Counseling, Llc 2025 E Main St Ste 216 Richmond VA 23223-7073 Ph: (510) 776-3984 |
| NPI Number | 1982234092 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Medicare PECOS PAC ID | 1254760010 |
|---|---|
| Medicare Enrollment ID | O20200331001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982234092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Rhonda A Hamlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548381759 PECOS PAC ID: 2668703711 Enrollment ID: I20191003003738 |
| Provider Name | Kathryn V Corson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770995334 PECOS PAC ID: 8921339078 Enrollment ID: I20191003003767 |
| Provider Name | Tanaysha Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285279257 PECOS PAC ID: 8123455987 Enrollment ID: I20200218000317 |
| Provider Name | Kevina Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635683 PECOS PAC ID: 6204249204 Enrollment ID: I20210112003146 |
| Provider Name | Daryl Flink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720629629 PECOS PAC ID: 5395152276 Enrollment ID: I20211129000868 |
| Provider Name | Courtney E Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851163851 PECOS PAC ID: 7618311556 Enrollment ID: I20240219001709 |
| Provider Name | Alistaire M Mckemy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134694482 PECOS PAC ID: 4981044559 Enrollment ID: I20240430000840 |
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