| Life Works Professional Counseling, Pllc | |
|
8767 Seminole Trl Ste 101 Ruckersville VA 22968-3494 | |
| (434) 990-1744 | |
| (434) 939-9401 |
| Full Name | Life Works Professional Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8767 Seminole Trl Ste 101, Ruckersville, Virginia |
| Authorized Official Name and Position | Crystal D Myers (OWNER OF SINGLE MEMBER LLC) |
| Authorized Official Contact | 4349901744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Works Professional Counseling, Pllc 8767 Seminole Trl Ste 101 Ruckersville VA 22968-3494 Ph: (434) 990-1744 | Life Works Professional Counseling, Pllc 8767 Seminole Trl Ste 101 Ruckersville VA 22968-3494 Ph: (434) 990-1744 |
| NPI Number | 1689148777 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 0143616706 |
|---|---|
| Medicare Enrollment ID | O20220407000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689148777 | NPI | - | NPPES |
| Provider Name | Tiffani Ashland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649563081 PECOS PAC ID: 0446592901 Enrollment ID: I20190502000856 |
| Provider Name | Kristen Mac Neill Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245970425 PECOS PAC ID: 6305232802 Enrollment ID: I20220411000392 |
| Provider Name | Crystal D Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326315482 PECOS PAC ID: 1052707619 Enrollment ID: I20240116000463 |
| Provider Name | Katherine Elizabeth Scales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760134571 PECOS PAC ID: 0042655631 Enrollment ID: I20240305003876 |
| Provider Name | Amy Kennel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356836811 PECOS PAC ID: 3678919560 Enrollment ID: I20240401000000 |
| Provider Name | Tabitha Monique Woodson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427405356 PECOS PAC ID: 1759727647 Enrollment ID: I20240503002909 |
Mindful Innovations Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Vista Heights Dr, Ruckersville, VA 22968 Phone: 804-723-6463 | |
Carol L Nelson, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8767 Seminole Trl Ste 201c, Ruckersville, VA 22968 Phone: 434-990-4163 Fax: 434-990-4961 |