Mountainside Counseling Llc | |
409 Virginia Ave Harrisonburg VA 22802-3921 | |
(540) 742-7550 | |
(855) 429-4120 |
Full Name | Mountainside Counseling Llc |
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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 |
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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 |
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Provider Enumeration Date | 03/02/2021 |
Last Update Date | 12/29/2023 |
Certification Date | 12/29/2023 |
Medicare PECOS PAC ID | 4789023102 |
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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 |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588289458 PECOS PAC ID: 5698114015 Enrollment ID: I20240418002015 |
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