| Diverse Expressions Counseling Llc | |
|
8721 Plantation Ln Ste 302 Manassas VA 20110-8324 | |
| (571) 307-2324 | |
| (571) 569-4480 |
| Full Name | Diverse Expressions Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8721 Plantation Ln Ste 302, Manassas, Virginia |
| Authorized Official Name and Position | Stephanie Bile Oulatta (OWNER) |
| Authorized Official Contact | 2405659484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Expressions Counseling Llc 8721 Plantation Ln Ste 302 Manassas VA 20110-8324 Ph: (571) 307-2324 | Diverse Expressions Counseling Llc 8721 Plantation Ln Ste 302 Manassas VA 20110-8324 Ph: (571) 307-2324 |
| NPI Number | 1811679038 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 0143678482 |
|---|---|
| Medicare Enrollment ID | O20231128001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811679038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Stephanie Bile Oulatta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285290148 PECOS PAC ID: 2961850201 Enrollment ID: I20231128001896 |
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