| Mountainside Counseling Llc | |
|
409 Virginia Ave Harrisonburg VA 22802-3921 | |
| (540) 742-7550 | |
| (855) 429-4120 |
| Full Name | Mountainside Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 409 Virginia Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Jeffrey Mcneil Lown (OWNER/LEAD CLINICIAN) |
| Authorized Official Contact | 5407427550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Counseling Llc 2439 Fairview Rd Mount Crawford VA 22841-2901 Ph: (540) 742-7550 | Mountainside Counseling Llc 409 Virginia Ave Harrisonburg VA 22802-3921 Ph: (540) 742-7550 |
| NPI Number | 1912592023 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Medicare PECOS PAC ID | 4789023102 |
|---|---|
| Medicare Enrollment ID | O20240418001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912592023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey Mcneil Lown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588289458 PECOS PAC ID: 5698114015 Enrollment ID: I20240418002015 |
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