| Kairos Counseling | |
|
308 Wolfe St Fredericksburg VA 22401-5925 | |
| (540) 370-6983 | |
| (540) 427-7912 |
| Full Name | Kairos Counseling |
|---|---|
| Speciality | Counselor |
| Location | 308 Wolfe St, Fredericksburg, Virginia |
| Authorized Official Name and Position | Barbara M Conord (OWNER) |
| Authorized Official Contact | 5402208673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Counseling 308 Wolfe St Fredericksburg VA 22401-5925 Ph: (540) 370-6983 | Kairos Counseling 308 Wolfe St Fredericksburg VA 22401-5925 Ph: (540) 370-6983 |
| NPI Number | 1154856656 |
|---|---|
| Provider Enumeration Date | 04/22/2017 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 4880024900 |
|---|---|
| Medicare Enrollment ID | O20200413003524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154856656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701006733 (Virginia) | Primary |
| Provider Name | Elizabeth Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457591596 PECOS PAC ID: 3072670009 Enrollment ID: I20090319000044 |
| Provider Name | Tatiana Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497282933 PECOS PAC ID: 4486075835 Enrollment ID: I20200610003004 |
| Provider Name | Barbara Marie Conord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861944860 PECOS PAC ID: 6800226929 Enrollment ID: I20240104002774 |
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