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108 Gold Valley Rd Locust Grove VA 22508 | |
| (540) 744-1020 | |
| (540) 404-8254 |
| Full Name | |
|---|---|
| Speciality | Non-emergency Medical Transport (van) |
| Location | 108 Gold Valley Rd, Locust Grove, Virginia |
| Authorized Official Name and Position | Emmanuel Osei Opare (OWNER) |
| Authorized Official Contact | 5712412493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
108 Gold Valley Rd Locust Grove VA 22508 Ph: (540) 744-1020 | 108 Gold Valley Rd Locust Grove VA 22508 Ph: (540) 744-1020 |
| NPI Number | 1033647219 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033647219 | NPI | - | NPPES |
| 697032998 | Medicaid | VA | |
| A6389039 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Primary |
Empower Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Monument Rd, Locust Grove, VA 22508 Phone: 339-223-7371 | |
Wise Mind Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Lakeview Pkwy, Locust Grove, VA 22508 Phone: 571-412-1912 |