| Counseling And Training Srvs Llc | |
|
5205 Lyngate Ct Ste A Burke VA 22015-1693 | |
| (571) 233-2135 | |
| Not Available |
| Full Name | Counseling And Training Srvs Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5205 Lyngate Ct Ste A, Burke, Virginia |
| Authorized Official Name and Position | Susanne Gwynn Oshry (COUNSELOR) |
| Authorized Official Contact | 5712332135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Training Srvs Llc 5205 Lyngate Ct Ste A Burke VA 22015-1693 Ph: (571) 233-2135 | Counseling And Training Srvs Llc 5205 Lyngate Ct Ste A Burke VA 22015-1693 Ph: (571) 233-2135 |
| NPI Number | 1528822608 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 6204273725 |
|---|---|
| Medicare Enrollment ID | O20240320000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528822608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susanne Gwynn Oshry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356433502 PECOS PAC ID: 7012354533 Enrollment ID: I20240320001101 |
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