| Exodus Counseling Services | |
|
7879 Winding Ash Ter Chesterfield VA 23832-2607 | |
| (434) 288-0534 | |
| Not Available |
| Full Name | Exodus Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7879 Winding Ash Ter, Chesterfield, Virginia |
| Authorized Official Name and Position | Angela G P Roberts (CEO/PROVIDER) |
| Authorized Official Contact | 4342880534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Counseling Services 7879 Winding Ash Ter Chesterfield VA 23832-2607 Ph: (434) 288-0534 | Exodus Counseling Services 7879 Winding Ash Ter Chesterfield VA 23832-2607 Ph: (434) 288-0534 |
| NPI Number | 1356927081 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Medicare PECOS PAC ID | 0941645758 |
|---|---|
| Medicare Enrollment ID | O20240304000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356927081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Angela G P Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154907871 PECOS PAC ID: 5193127447 Enrollment ID: I20240304000955 |
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