| Goldenleaf Counseling Pllc | |
|
336 Airport Rd Ringgold VA 24586-2236 | |
| (828) 764-1347 | |
| Not Available |
| Full Name | Goldenleaf Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 336 Airport Rd, Ringgold, Virginia |
| Authorized Official Name and Position | Tricia Chapman (PRACTICE MANAGER) |
| Authorized Official Contact | 8283910611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldenleaf Counseling Pllc 336 Airport Rd Ringgold VA 24586-2236 Ph: (828) 764-1347 | Goldenleaf Counseling Pllc 336 Airport Rd Ringgold VA 24586-2236 Ph: (828) 764-1347 |
| NPI Number | 1578346714 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 4688010218 |
|---|---|
| Medicare Enrollment ID | O20240306001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578346714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Aimee Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881070464 PECOS PAC ID: 4385029586 Enrollment ID: I20240306001326 |
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