Clarity And Wellness Psychiatry Llc | |
10003 Courtview Ln Ste E Chesterfield VA 23832-6682 | |
(804) 621-2443 | |
(804) 621-2552 |
Full Name | Clarity And Wellness Psychiatry Llc |
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Speciality | Psychiatry & Neurology |
Location | 10003 Courtview Ln Ste E, Chesterfield, Virginia |
Authorized Official Name and Position | Jill B Jones (PRESIDENT/CEO) |
Authorized Official Contact | 8048033502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clarity And Wellness Psychiatry Llc 10003 Courtview Ln Ste E Chesterfield VA 23832-6682 Ph: (804) 691-5967 | Clarity And Wellness Psychiatry Llc 10003 Courtview Ln Ste E Chesterfield VA 23832-6682 Ph: (804) 621-2443 |
NPI Number | 1255105516 |
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Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/10/2023 |
Certification Date | 11/10/2023 |
Medicare PECOS PAC ID | 5597113886 |
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Medicare Enrollment ID | O20231128000040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255105516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jill Bates Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942892625 PECOS PAC ID: 3971911769 Enrollment ID: I20210415001502 |
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