| Counseling With Kelli Llc | |
|
22 E Church St Ste 310 Martinsville VA 24112-6208 | |
| (276) 403-9110 | |
| Not Available |
| Full Name | Counseling With Kelli Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22 E Church St Ste 310, Martinsville, Virginia |
| Authorized Official Name and Position | Kelli S Palmer (OWNER/COUNSELOR) |
| Authorized Official Contact | 2764039110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling With Kelli Llc 198 Green Leaf Cir Ridgeway VA 24148-3115 Ph: (276) 340-6195 | Counseling With Kelli Llc 22 E Church St Ste 310 Martinsville VA 24112-6208 Ph: (276) 403-9110 |
| NPI Number | 1366213365 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 4981043288 |
|---|---|
| Medicare Enrollment ID | O20240419000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366213365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelli Spencer Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265000426 PECOS PAC ID: 6709225006 Enrollment ID: I20240419001188 |
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