New Lyfe Counseling Services | |
1601 Ware Bottom Spring Rd Ste 208 Chester VA 23836-2599 | |
(804) 621-4228 | |
(804) 621-4231 |
Full Name | New Lyfe Counseling Services |
---|---|
Speciality | Counselor |
Location | 1601 Ware Bottom Spring Rd Ste 208, Chester, Virginia |
Authorized Official Name and Position | Detrina Evette Crawley (LPC) |
Authorized Official Contact | 8046214228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Lyfe Counseling Services 1601 Ware Bottom Spring Rd Ste 208 Chester VA 23836-2599 Ph: (804) 621-4228 | New Lyfe Counseling Services 1601 Ware Bottom Spring Rd Ste 208 Chester VA 23836-2599 Ph: (804) 621-4228 |
NPI Number | 1346822392 |
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Provider Enumeration Date | 04/28/2021 |
Last Update Date | 04/28/2021 |
Certification Date | 04/28/2021 |
Medicare PECOS PAC ID | 9335585744 |
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Medicare Enrollment ID | O20240307003182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346822392 | NPI | - | NPPES |
605324315 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Detrina Evette Crawley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528504172 PECOS PAC ID: 1153767561 Enrollment ID: I20240307003551 |
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