Hope Revisited Counseling Services Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in South Bend, Washington. The current practice location for Hope Revisited Counseling Services Pllc is 500 W Robert Bush Dr Ste 3, South Bend, Washington. For appointments, you can reach them via phone at (360) 209-3240. The mailing address for Hope Revisited Counseling Services Pllc is Po Box 532, South Bend, Washington and phone number is (509) 821-1035.
Hope Revisited Counseling Services Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740877638. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 209-3240.
Contact Information
Hope Revisited Counseling Services Pllc
500 W Robert Bush Dr Ste 3 South Bend WA 98586-9075
500 W Robert Bush Dr Ste 3, South Bend, Washington
Authorized Official Name and Position
Gina Renee Miles (OWNER)
Authorized Official Contact
5098211035
Accepts Medicare Insurance
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Hope Revisited Counseling Services Pllc Po Box 532 South Bend WA 98586-0532 Ph: (509) 821-1035
Hope Revisited Counseling Services Pllc 500 W Robert Bush Dr Ste 3 South Bend WA 98586-9075 Ph: (360) 209-3240
NPI Details:
NPI Number
1740877638
Provider Enumeration Date
12/24/2020
Last Update Date
12/24/2020
Certification Date
12/24/2020
Medicare PECOS Information:
Medicare PECOS PAC ID
2567876360
Medicare Enrollment ID
O20210205000275
Medical Identifiers
Medical identifiers for Hope Revisited Counseling Services Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1740877638
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
1041C0700X
Social Worker - Clinical
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hope Revisited Counseling Services Pllc acts as a billing entity for following providers: