Found Marbles | |
10 Doe Valley Dr Copper Hill VA 24079-1103 | |
(804) 677-1674 | |
Not Available |
Full Name | Found Marbles |
---|---|
Speciality | Social Worker |
Location | 10 Doe Valley Dr, Copper Hill, Virginia |
Authorized Official Name and Position | Rosana Lopez Haugh (BEHAVIORAL HEALTH PROVIDER) |
Authorized Official Contact | 8046771674 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Found Marbles 10 Doe Valley Dr Copper Hill VA 24079-1103 Ph: (804) 677-1674 | Found Marbles 10 Doe Valley Dr Copper Hill VA 24079-1103 Ph: (804) 677-1674 |
NPI Number | 1881462265 |
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Provider Enumeration Date | 12/15/2023 |
Last Update Date | 04/22/2024 |
Certification Date | 04/22/2024 |
Medicare PECOS PAC ID | 7012356256 |
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Medicare Enrollment ID | O20240419002617 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881462265 | NPI | - | NPPES |
30017438240003 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Rosana Lopez Haugh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306593819 PECOS PAC ID: 0749675528 Enrollment ID: I20220314000854 |
Family Preservation Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6814 Floyd Hwy N, Copper Hill, VA 24079 Phone: 540-381-7500 Fax: 540-381-7658 |