| Family Life Resource Center | |
|
273 Newman Ave Harrisonburg VA 22801 | |
| (540) 434-8450 | |
| Not Available |
| Full Name | Family Life Resource Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 273 Newman Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Dorothy S Hottle (OFFICE MANAGER) |
| Authorized Official Contact | 5404348450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Resource Center 273 Newman Ave Harrisonburg VA 22801 Ph: (540) 434-8450 | Family Life Resource Center 273 Newman Ave Harrisonburg VA 22801 Ph: (540) 434-8450 |
| NPI Number | 1720164981 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496707358 |
|---|---|
| Medicare Enrollment ID | O20050218000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720164981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elroy J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366570004 PECOS PAC ID: 7315262193 Enrollment ID: I20150219001438 |
| Provider Name | Paige Harley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215579479 PECOS PAC ID: 5799110029 Enrollment ID: I20200115001213 |
| Provider Name | Sylvia W Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902470248 PECOS PAC ID: 6305237090 Enrollment ID: I20220107001135 |
| Provider Name | Amy Mercer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881340560 PECOS PAC ID: 0244625499 Enrollment ID: I20220324002543 |
| Provider Name | Matthew Swartzentruber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194348607 PECOS PAC ID: 3173980711 Enrollment ID: I20240217000878 |
| Provider Name | Kathryn H Corder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912362740 PECOS PAC ID: 8729425525 Enrollment ID: I20240327004043 |
| Provider Name | Sarah Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073088852 PECOS PAC ID: 5395183669 Enrollment ID: I20240405000037 |
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