| Hill City Counseling And Consulting, Llc | |
|
1610a Graves Mill Rd Lynchburg VA 24502-4329 | |
| (434) 258-0591 | |
| (434) 608-0505 |
| Full Name | Hill City Counseling And Consulting, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1610a Graves Mill Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Suzanne E. Mikkelson (OWNER) |
| Authorized Official Contact | 4342580591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hill City Counseling And Consulting, Llc 1610a Graves Mill Rd Lynchburg VA 24502-4329 Ph: (434) 258-0591 | Hill City Counseling And Consulting, Llc 1610a Graves Mill Rd Lynchburg VA 24502-4329 Ph: (434) 258-0591 |
| NPI Number | 1063069185 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 7810338050 |
|---|---|
| Medicare Enrollment ID | O20240517003627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063069185 | NPI | - | NPPES |
| 1730524927 | Other | NPI | |
| 1578740924 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | David P Mikkelson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730524927 PECOS PAC ID: 8729429964 Enrollment ID: I20240517003722 |
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