Intracoastal Counseling & Consulting, Pllc | |
12736 Petrel Xing Midlothian VA 23112-2959 | |
(252) 571-7235 | |
(252) 631-0344 |
Full Name | Intracoastal Counseling & Consulting, Pllc |
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Speciality | Social Worker - Clinical |
Location | 12736 Petrel Xing, Midlothian, Virginia |
Authorized Official Name and Position | Temple B. Berry (PRESIDENT/OWNER) |
Authorized Official Contact | 2525717235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intracoastal Counseling & Consulting, Pllc 12736 Petrel Xing Midlothian VA 23112-2959 Ph: (252) 571-7235 | Intracoastal Counseling & Consulting, Pllc 12736 Petrel Xing Midlothian VA 23112-2959 Ph: (252) 571-7235 |
NPI Number | 1861144982 |
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Provider Enumeration Date | 01/20/2022 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861144982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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