| Intuitive Journeys, Plc | |
|
1802 Augustine Ave Fredericksburg VA 22401-4606 | |
| (703) 862-5679 | |
| Not Available |
| Full Name | Intuitive Journeys, Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1802 Augustine Ave, Fredericksburg, Virginia |
| Authorized Official Name and Position | Marianne Redmond Lopez (CEO) |
| Authorized Official Contact | 7038625679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intuitive Journeys, Plc 43 Town And Country Dr 143 Fredericksburg VA 22405-8729 Ph: (703) 862-5679 | Intuitive Journeys, Plc 1802 Augustine Ave Fredericksburg VA 22401-4606 Ph: (703) 862-5679 |
| NPI Number | 1083803464 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083803464 | NPI | - | NPPES |
| 303185 | Other | SOUTHEAST | |
| 087841 | Other | SENTERA | |
| 307304 (IND 307305) | Other | ANTHEM | |
| 468354 | Other | VALUEOPTIONS | |
| 212387 | Other | VA | |
| 7305414 | Other | AETNA | |
| 3878 | Other | CAREFIRST BC | |
| 512389 | Other | NCPPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004604 (Virginia) | Primary |
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