| Child And Family Therapy Associates | |
|
5215 Starkey Rd Roanoke VA 24018-9359 | |
| (540) 293-9788 | |
| (540) 904-7731 |
| Full Name | Child And Family Therapy Associates |
|---|---|
| Speciality | Social Worker |
| Location | 5215 Starkey Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Angela Mitchell (OWNER) |
| Authorized Official Contact | 5402939788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Therapy Associates 4620 Buck Run Dr Apt D Roanoke VA 24018-9042 Ph: (540) 293-9788 | Child And Family Therapy Associates 5215 Starkey Rd Roanoke VA 24018-9359 Ph: (540) 293-9788 |
| NPI Number | 1528584331 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 08/15/2017 |
| Medicare PECOS PAC ID | 9830453406 |
|---|---|
| Medicare Enrollment ID | O20180507001650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528584331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009910 (Virginia) | Primary |
| Provider Name | Angela N Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255860458 PECOS PAC ID: 0749544310 Enrollment ID: I20180507001781 |
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