| Marjorie Smith, Llc | |
|
3932 Springfield Rd Glen Allen VA 23060-4119 | |
| (804) 837-5311 | |
| (804) 368-0267 |
| Full Name | Marjorie Smith, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3932 Springfield Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Marjorie Fields Smith (OWNER) |
| Authorized Official Contact | 8048375311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie Smith, Llc 9184 Bracey Mill Pl Mechanicsville VA 23116-5154 Ph: (804) 550-3525 | Marjorie Smith, Llc 3932 Springfield Rd Glen Allen VA 23060-4119 Ph: (804) 837-5311 |
| NPI Number | 1568830875 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/04/2015 |
| Medicare PECOS PAC ID | 3779892435 |
|---|---|
| Medicare Enrollment ID | O20151020000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568830875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marjorie Fields Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225375850 PECOS PAC ID: 4688983349 Enrollment ID: I20151020000752 |
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