| Lioness Healing And Wellness Llc | |
|
1400 Sunset Ln Ste 4230 Culpeper VA 22701-3300 | |
| (540) 616-2312 | |
| Not Available |
| Full Name | Lioness Healing And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 Sunset Ln Ste 4230, Culpeper, Virginia |
| Authorized Official Name and Position | Kayla Potter (PMHNP) |
| Authorized Official Contact | 5406162312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lioness Healing And Wellness Llc 13458 Dachshund Run Culpeper VA 22701-4815 Ph: () - | Lioness Healing And Wellness Llc 1400 Sunset Ln Ste 4230 Culpeper VA 22701-3300 Ph: (540) 616-2312 |
| NPI Number | 1154058790 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 5193195360 |
|---|---|
| Medicare Enrollment ID | O20230104000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154058790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kayla Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851968499 PECOS PAC ID: 1951707611 Enrollment ID: I20230104001053 |
| Provider Name | Brittany L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154006278 PECOS PAC ID: 9234584830 Enrollment ID: I20231017004027 |
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