| Healthy Changes Counseling Associates | |
|
1243 Gateway Centre Pkwy Richmond VA 23235-5165 | |
| (804) 726-4790 | |
| (804) 726-4791 |
| Full Name | Healthy Changes Counseling Associates |
|---|---|
| Speciality | Social Worker |
| Location | 1243 Gateway Centre Pkwy, Richmond, Virginia |
| Authorized Official Name and Position | Ola H Hardiman (MANAGING MEMBER) |
| Authorized Official Contact | 8047264790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Changes Counseling Associates 1243 Gateway Centre Pkwy Richmond VA 23235-5165 Ph: (804) 726-4790 | Healthy Changes Counseling Associates 1243 Gateway Centre Pkwy Richmond VA 23235-5165 Ph: (804) 726-4790 |
| NPI Number | 1710198080 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052404977 |
|---|---|
| Medicare Enrollment ID | O20070910000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710198080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ola H Hardiman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174559454 PECOS PAC ID: 6204929128 Enrollment ID: I20070910000394 |
| Provider Name | Monica V Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720259195 PECOS PAC ID: 4385712660 Enrollment ID: I20081014000591 |
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