| Edacllc | |
|
8104 Elm Dr Ste A Mechanicsville VA 23111-1106 | |
| (804) 585-4988 | |
| Not Available |
| Full Name | Edacllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8104 Elm Dr Ste A, Mechanicsville, Virginia |
| Authorized Official Name and Position | Joseph White (OWNER) |
| Authorized Official Contact | 8045854988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edacllc 6407 Bareback Ter North Chesterfield VA 23234-4196 Ph: (804) 585-4988 | Edacllc 8104 Elm Dr Ste A Mechanicsville VA 23111-1106 Ph: (804) 585-4988 |
| NPI Number | 1720601453 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720601453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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