Grounded Integrative Counseling, Llc | |
1616 Euclid Ave Bristol VA 24201-3734 | |
(276) 378-9407 | |
(276) 889-6823 |
Full Name | Grounded Integrative Counseling, Llc |
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Speciality | Social Worker |
Location | 1616 Euclid Ave, Bristol, Virginia |
Authorized Official Name and Position | Melanie M Williams (OWNER) |
Authorized Official Contact | 2766961899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grounded Integrative Counseling, Llc 125 Timber Oak Dr Bristol VA 24201-3065 Ph: (276) 696-1899 | Grounded Integrative Counseling, Llc 1616 Euclid Ave Bristol VA 24201-3734 Ph: (276) 378-9407 |
NPI Number | 1871110742 |
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Provider Enumeration Date | 06/26/2020 |
Last Update Date | 09/06/2023 |
Certification Date | 02/05/2021 |
Medicare PECOS PAC ID | 5395160477 |
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Medicare Enrollment ID | O20200806001332 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871110742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Melanie Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548380751 PECOS PAC ID: 0244365237 Enrollment ID: I20200806001445 |
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