| Maddie Decker, Llc | |
|
2004 Murdoch Rd Henrico VA 23229-3140 | |
| (828) 423-6917 | |
| Not Available |
| Full Name | Maddie Decker, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2004 Murdoch Rd, Henrico, Virginia |
| Authorized Official Name and Position | Maddie Decker (COUNSELOR) |
| Authorized Official Contact | 8284236917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maddie Decker, Llc 2004 Murdoch Rd Henrico VA 23229-3140 Ph: (828) 423-6917 | Maddie Decker, Llc 2004 Murdoch Rd Henrico VA 23229-3140 Ph: (828) 423-6917 |
| NPI Number | 1093425290 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093425290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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