| Inner Self Counseling And Consulting Llc | |
|
8008 Heavenly Valley Dr Henrico VA 23231-8954 | |
| (804) 919-0902 | |
| (804) 795-5897 |
| Full Name | Inner Self Counseling And Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8008 Heavenly Valley Dr, Henrico, Virginia |
| Authorized Official Name and Position | Lakesha Roney (OWNER/LPC) |
| Authorized Official Contact | 8049190902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Self Counseling And Consulting Llc 8008 Heavenly Valley Dr Henrico VA 23231-8954 Ph: (804) 919-0902 | Inner Self Counseling And Consulting Llc 8008 Heavenly Valley Dr Henrico VA 23231-8954 Ph: (804) 919-0902 |
| NPI Number | 1902357809 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 1850732520 |
|---|---|
| Medicare Enrollment ID | O20240513000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902357809 | NPI | - | NPPES |
| 600875758 | Medicaid | VA | |
| 1184895484 | Other | VA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701003863 (Virginia) | Primary |
| Provider Name | Lakesha Delrae Roney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184895484 PECOS PAC ID: 5799077236 Enrollment ID: I20240513001029 |
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