| Mountain Creek Counseling | |
|
544 Old Buena Vista Rd Lexington VA 24450-3736 | |
| (540) 742-7260 | |
| Not Available |
| Full Name | Mountain Creek Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 544 Old Buena Vista Rd, Lexington, Virginia |
| Authorized Official Name and Position | Susan E Bedell (COUNSELOR) |
| Authorized Official Contact | 5407427260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Creek Counseling Po Box 338 Lexington VA 24450-0338 Ph: (540) 742-7260 | Mountain Creek Counseling 544 Old Buena Vista Rd Lexington VA 24450-3736 Ph: (540) 742-7260 |
| NPI Number | 1881392652 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 5395119408 |
|---|---|
| Medicare Enrollment ID | O20230313000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881392652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Susan E Bedell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427109792 PECOS PAC ID: 6608977921 Enrollment ID: I20190423000832 |
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