|
| |
|
14410 Sommerville Ct Suite 101 Midlothian VA 23113-6835 | |
| (804) 897-9355 | |
| (804) 897-9359 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 14410 Sommerville Ct, Midlothian, Virginia |
| Authorized Official Name and Position | Saima Saleem (OFFICE MANAGER) |
| Authorized Official Contact | 8048979355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
14410 Sommerville Ct Suite 101 Midlothian VA 23113-6835 Ph: (804) 897-9355 | 14410 Sommerville Ct Suite 101 Midlothian VA 23113-6835 Ph: (804) 897-9355 |
| NPI Number | 1922326909 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Medicare PECOS PAC ID | 6709058381 |
|---|---|
| Medicare Enrollment ID | O20111003000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922326909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rehan Saleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447216668 PECOS PAC ID: 9032105572 Enrollment ID: I20040819000414 |
| Provider Name | Donna Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427244417 PECOS PAC ID: 7719418557 Enrollment ID: I20241003000906 |
| Provider Name | Erin Tierney-butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326094418 PECOS PAC ID: 0143755603 Enrollment ID: I20241121001541 |
Commonwealth Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13356 Midlothian Tpke, Suite 202, Midlothian, VA 23113 Phone: 804-721-1720 Fax: 804-214-2177 | |
Empowerment Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1133 Jefferson Green Cir, Midlothian, VA 23113 Phone: 804-794-7777 | |
Comfort Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Huguenot Rd Ste 200b, Midlothian, VA 23113 Phone: 804-207-5282 Fax: 804-395-8625 | |
Care & Wellness Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8119 Nashua Dr, Midlothian, VA 23112 Phone: 267-709-1186 | |