| Fts Outpatient Llc | |
|
115 W 2nd Ave Franklin VA 23851-1711 | |
| (757) 562-2108 | |
| Not Available |
| Full Name | Fts Outpatient Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 115 W 2nd Ave, Franklin, Virginia |
| Authorized Official Name and Position | Corey Olds (CEO) |
| Authorized Official Contact | 7575622108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fts Outpatient Llc 115 W 2nd Ave Franklin VA 23851-1711 Ph: (757) 562-2108 | Fts Outpatient Llc 115 W 2nd Ave Franklin VA 23851-1711 Ph: (757) 562-2108 |
| NPI Number | 1245860949 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245860949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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