| Emotional Expressions, Llc | |
|
325 Piney Forest Dr Danville VA 24540 | |
| (276) 734-3421 | |
| Not Available |
| Full Name | Emotional Expressions, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Piney Forest Dr, Danville, Virginia |
| Authorized Official Name and Position | Tina Nicole Streer (OWNER/CEO) |
| Authorized Official Contact | 2767343421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotional Expressions, Llc 1361 Hillcrest Ave Martinsville VA 24112-4824 Ph: (276) 734-3421 | Emotional Expressions, Llc 325 Piney Forest Dr Danville VA 24540 Ph: (276) 734-3421 |
| NPI Number | 1346904588 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/06/2021 |
| Medicare PECOS PAC ID | 0941693758 |
|---|---|
| Medicare Enrollment ID | O20220131000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346904588 | NPI | - | NPPES |
| 00000000000000 | Other | DO NOT HAVE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tina Nicole Street |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740872092 PECOS PAC ID: 5597156828 Enrollment ID: I20220131000696 |
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