| Melanie A Bosco, Pllc | |
|
3601 Milshire Ct Richmond VA 23233-7672 | |
| (804) 413-6064 | |
| Not Available |
| Full Name | Melanie A Bosco, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3601 Milshire Ct, Richmond, Virginia |
| Authorized Official Name and Position | Melanie Bosco (OWNER, PROVIDER) |
| Authorized Official Contact | 8044136064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie A Bosco, Pllc 3601 Milshire Ct Richmond VA 23233-7672 Ph: (804) 413-6064 | Melanie A Bosco, Pllc 3601 Milshire Ct Richmond VA 23233-7672 Ph: (804) 413-6064 |
| NPI Number | 1336900448 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 1456796358 |
|---|---|
| Medicare Enrollment ID | O20240301001694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336900448 | NPI | - | NPPES |
| 30017441080001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melanie A Bosco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891825436 PECOS PAC ID: 3274978176 Enrollment ID: I20240301001792 |
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