| Creating Compassion, Llc | |
|
1215 3rd St Sw Roanoke VA 24016-4611 | |
| (540) 268-3411 | |
| (540) 413-0268 |
| Full Name | Creating Compassion, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1215 3rd St Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Maria Weaver (OFFICE MANAGER) |
| Authorized Official Contact | 5405298543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Compassion, Llc 5980 Buckland Mill Rd Roanoke VA 24019-6725 Ph: (540) 529-8543 | Creating Compassion, Llc 1215 3rd St Sw Roanoke VA 24016-4611 Ph: (540) 268-3411 |
| NPI Number | 1619616042 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Medicare PECOS PAC ID | 4284079021 |
|---|---|
| Medicare Enrollment ID | O20240301003330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619616042 | NPI | - | NPPES |
| 601413152 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Hannah Elizabeth Phillips Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184289308 PECOS PAC ID: 1850734948 Enrollment ID: I20240206001057 |
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