Clarity Clinical Counseling | |
300 Garrisonville Rd Ste 302 Stafford VA 22554-8903 | |
(540) 300-2096 | |
Not Available |
Full Name | Clarity Clinical Counseling |
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Speciality | Social Worker |
Location | 300 Garrisonville Rd Ste 302, Stafford, Virginia |
Authorized Official Name and Position | Phyllis Burgin (CLINICAL DIRECTOR) |
Authorized Official Contact | 5712517477 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clarity Clinical Counseling 300 Garrisonville Rd Ste 302 Stafford VA 22554-8903 Ph: (540) 300-2096 | Clarity Clinical Counseling 300 Garrisonville Rd Ste 302 Stafford VA 22554-8903 Ph: (540) 300-2096 |
NPI Number | 1427826734 |
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Provider Enumeration Date | 12/15/2023 |
Last Update Date | 05/10/2024 |
Certification Date | 05/10/2024 |
Medicare PECOS PAC ID | 8123469939 |
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Medicare Enrollment ID | O20240510001800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427826734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Phyllis A Burgin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295395994 PECOS PAC ID: 9032550843 Enrollment ID: I20240510002018 |
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