| Glt Therapy Llc | |
|
5109 Riverside Dr Richmond VA 23225-3001 | |
| (540) 815-3360 | |
| Not Available |
| Full Name | Glt Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5109 Riverside Dr, Richmond, Virginia |
| Authorized Official Name and Position | Anne-paige Motley (OWNER) |
| Authorized Official Contact | 5408153360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glt Therapy Llc 5109 Riverside Dr Richmond VA 23225-3001 Ph: () - | Glt Therapy Llc 5109 Riverside Dr Richmond VA 23225-3001 Ph: (540) 815-3360 |
| NPI Number | 1952172264 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 4587006796 |
|---|---|
| Medicare Enrollment ID | O20240520002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952172264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anne-paige Motley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194431270 PECOS PAC ID: 6002272432 Enrollment ID: I20230510000170 |
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