| Circle Of Wellness | |
|
4906 Cutshaw Ave Ste 201 Richmond VA 23230-3630 | |
| (434) 806-3869 | |
| Not Available |
| Full Name | Circle Of Wellness |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4906 Cutshaw Ave Ste 201, Richmond, Virginia |
| Authorized Official Name and Position | Lonnell F Lewis (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4348063869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Wellness Po Box 471 Palmyra VA 22963-0471 Ph: (434) 806-3869 | Circle Of Wellness 4906 Cutshaw Ave Ste 201 Richmond VA 23230-3630 Ph: (434) 806-3869 |
| NPI Number | 1093250540 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 10/11/2019 |
| Medicare PECOS PAC ID | 7416287842 |
|---|---|
| Medicare Enrollment ID | O20190926002367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093250540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904009706 (Virginia) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Lonnell Fericl Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427585348 PECOS PAC ID: 5092046508 Enrollment ID: I20191015002423 |
| Provider Name | Destiny Rain Spain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538937362 PECOS PAC ID: 3173962685 Enrollment ID: I20240417001078 |
| Provider Name | Cinnamon Langley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164290813 PECOS PAC ID: 0446699961 Enrollment ID: I20240417001551 |
| Provider Name | Eloise Alexandra Martinek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366203242 PECOS PAC ID: 7719326040 Enrollment ID: I20240418002488 |
| Provider Name | Ronnell Fercil Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710571955 PECOS PAC ID: 4880036847 Enrollment ID: I20240522004145 |
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