| Independence Psychotherapy Services Llc | |
|
215 Mclaws Cir Suite 1 Williamsburg VA 23185-5799 | |
| (757) 345-6428 | |
| (757) 345-6808 |
| Full Name | Independence Psychotherapy Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 215 Mclaws Cir, Williamsburg, Virginia |
| Authorized Official Name and Position | Linda Bourdon Rein (DIRECTOR) |
| Authorized Official Contact | 7573456428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Psychotherapy Services Llc 215 Mclaws Cir Suite 1 Williamsburg VA 23185-5799 Ph: (757) 345-6428 | Independence Psychotherapy Services Llc 215 Mclaws Cir Suite 1 Williamsburg VA 23185-5799 Ph: (757) 345-6428 |
| NPI Number | 1306235783 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306235783 | NPI | - | NPPES |
| 1417232802 | Other | VA | INDEPENDENCE CHILD THERAPY SERVICES LLC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 07010005880 (Virginia) | Secondary |
| 101Y00000X | Counselor | 08701003392 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810004468 (Virginia) | Primary |
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