Look Inside Therapy, Llc | |
21 N Broad St Ste E # 10104 Luray VA 22835-1162 | |
(571) 449-7837 | |
Not Available |
Full Name | Look Inside Therapy, Llc |
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Speciality | Clinic/Center |
Location | 21 N Broad St Ste E # 10104, Luray, Virginia |
Authorized Official Name and Position | Judith Patricia Watta (OWNER) |
Authorized Official Contact | 5714497837 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Look Inside Therapy, Llc Po Box 806054 Saint Clair Shores MI 48080-6054 Ph: (571) 449-7837 | Look Inside Therapy, Llc 21 N Broad St Ste E # 10104 Luray VA 22835-1162 Ph: (571) 449-7837 |
NPI Number | 1760116297 |
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Provider Enumeration Date | 07/11/2022 |
Last Update Date | 07/17/2024 |
Certification Date | 07/17/2024 |
Medicare PECOS PAC ID | 9739563214 |
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Medicare Enrollment ID | O20220901000683 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760116297 | NPI | - | NPPES |
Provider Name | Judith Watta |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356871305 PECOS PAC ID: 7911273073 Enrollment ID: I20171018001105 |
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