| Hope Counseling And Wellness | |
|
1133 Jefferson Green Cir Midlothian VA 23113-4300 | |
| (804) 717-1111 | |
| (804) 717-1185 |
| Full Name | Hope Counseling And Wellness |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1133 Jefferson Green Cir, Midlothian, Virginia |
| Authorized Official Name and Position | Deborah L. Daniel (MEMBER) |
| Authorized Official Contact | 8047171111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Counseling And Wellness Po Box 555 Midlothian VA 23113-0555 Ph: (804) 717-1111 | Hope Counseling And Wellness 1133 Jefferson Green Cir Midlothian VA 23113-4300 Ph: (804) 717-1111 |
| NPI Number | 1134452782 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 12/18/2011 |
| Medicare PECOS PAC ID | 8628243722 |
|---|---|
| Medicare Enrollment ID | O20111219000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134452782 | NPI | - | NPPES |
| 1104907104 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0904002044 (Virginia) | Primary |
| Provider Name | Deborah L Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104907104 PECOS PAC ID: 8325226384 Enrollment ID: I20110622000744 |
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