| Every Age Every Stage Llc | |
|
2820 Waterford Lake Dr Ste 100 Midlothian VA 23112-3994 | |
| (804) 562-7117 | |
| Not Available |
| Full Name | Every Age Every Stage Llc |
|---|---|
| Speciality | Counselor |
| Location | 2820 Waterford Lake Dr Ste 100, Midlothian, Virginia |
| Authorized Official Name and Position | Lana Draney Smith (BUSINESS. OWNER) |
| Authorized Official Contact | 8044671012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Every Age Every Stage Llc 8018 Hampton Valley Dr Chesterfield VA 23832-2018 Ph: (804) 467-1012 | Every Age Every Stage Llc 2820 Waterford Lake Dr Ste 100 Midlothian VA 23112-3994 Ph: (804) 562-7117 |
| NPI Number | 1972285609 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 0345689790 |
|---|---|
| Medicare Enrollment ID | O20240417003140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972285609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Melanie L Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154584514 PECOS PAC ID: 5193890812 Enrollment ID: I20080814000630 |
| Provider Name | Ramona Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194354563 PECOS PAC ID: 8527482488 Enrollment ID: I20200724000327 |
| Provider Name | Lana Draney Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366042632 PECOS PAC ID: 8426497876 Enrollment ID: I20240417003238 |
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