| New Seasons Family Services | |
|
11000 Wooferton Ct Midlothian VA 23112-1664 | |
| (804) 803-4075 | |
| Not Available |
| Full Name | New Seasons Family Services |
|---|---|
| Speciality | Counselor |
| Location | 11000 Wooferton Ct, Midlothian, Virginia |
| Authorized Official Name and Position | Roderick Hampton (C.E.O/ CLINICIAN) |
| Authorized Official Contact | 8048034075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Seasons Family Services 11000 Wooferton Ct Midlothian VA 23112-1664 Ph: (804) 803-4075 | New Seasons Family Services 11000 Wooferton Ct Midlothian VA 23112-1664 Ph: (804) 803-4075 |
| NPI Number | 1548023625 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 8224476395 |
|---|---|
| Medicare Enrollment ID | O20240409002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548023625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Roderick Agee Hampton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437734050 PECOS PAC ID: 1153703475 Enrollment ID: I20240409002361 |
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