| Higher Ground Recovery, Inc | |
|
4913 Fitzhugh Ave Suite 202 Richmond VA 23230-3540 | |
| (804) 363-2583 | |
| Not Available |
| Full Name | Higher Ground Recovery, Inc |
|---|---|
| Speciality | Counselor |
| Location | 4913 Fitzhugh Ave, Richmond, Virginia |
| Authorized Official Name and Position | Christine M Galli (THERAPIST/PRESIDENT) |
| Authorized Official Contact | 8043632583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Ground Recovery, Inc 8310 Lansdowne Rd Richmond VA 23229-3223 Ph: (804) 363-2583 | Higher Ground Recovery, Inc 4913 Fitzhugh Ave Suite 202 Richmond VA 23230-3540 Ph: (804) 363-2583 |
| NPI Number | 1700832581 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 04/29/2009 |
| Medicare PECOS PAC ID | 2062775869 |
|---|---|
| Medicare Enrollment ID | O20180409001615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700832581 | NPI | - | NPPES |
| 010129303 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701003206 (Virginia) | Primary |
| Provider Name | Christine Galli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235203563 PECOS PAC ID: 3971866773 Enrollment ID: I20240305003200 |
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