| Elmwood Counseling Services | |
|
966 W Main St Brooksfield Sq, Ste 7 Abingdon VA 24210-2483 | |
| (276) 623-8230 | |
| (276) 525-1813 |
| Full Name | Elmwood Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 966 W Main St, Abingdon, Virginia |
| Authorized Official Name and Position | Judy M Mink (PRESIDENT) |
| Authorized Official Contact | 2766238230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Counseling Services 966 W Main St Brooksfield Sq, Ste 7 Abingdon VA 24210-2483 Ph: (276) 623-8230 | Elmwood Counseling Services 966 W Main St Brooksfield Sq, Ste 7 Abingdon VA 24210-2483 Ph: (276) 623-8230 |
| NPI Number | 1710068895 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 02/11/2013 |
| Medicare PECOS PAC ID | 5496743940 |
|---|---|
| Medicare Enrollment ID | O20040720000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710068895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1864 (Virginia) | Primary |
| Provider Name | Judy M Mink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700889235 PECOS PAC ID: 5698754851 Enrollment ID: I20040726001000 |
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