Fair Counseling, Llc | |
1241 Mall Dr North Chesterfield VA 23235-4879 | |
(804) 821-1008 | |
(804) 821-1008 |
Full Name | Fair Counseling, Llc |
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Speciality | Counselor |
Location | 1241 Mall Dr, North Chesterfield, Virginia |
Authorized Official Name and Position | Joshua Fair (OWNER) |
Authorized Official Contact | 8043187264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fair Counseling, Llc 1241 Mall Dr North Chesterfield VA 23235-4879 Ph: (804) 413-6616 | Fair Counseling, Llc 1241 Mall Dr North Chesterfield VA 23235-4879 Ph: (804) 821-1008 |
NPI Number | 1205699345 |
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Provider Enumeration Date | 02/01/2024 |
Last Update Date | 05/30/2024 |
Certification Date | 05/30/2024 |
Medicare PECOS PAC ID | 4981045424 |
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Medicare Enrollment ID | O20240514004382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205699345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Joshua Fair |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649864026 PECOS PAC ID: 5890136337 Enrollment ID: I20240515000005 |
Provider Name | Jennifer Perkinson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215355458 PECOS PAC ID: 6709227242 Enrollment ID: I20240520001060 |
Provider Name | Earl Winston Allen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629682513 PECOS PAC ID: 5597201798 Enrollment ID: I20240724001776 |
Provider Name | Marilyn Weatherless Hembrick |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932853553 PECOS PAC ID: 1850832528 Enrollment ID: I20240920002996 |
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