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 |
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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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