| Notice That - Therapy & Consulting Llc | |
|
1307 Jamestown Rd Ste 101 Williamsburg VA 23185-3381 | |
| (757) 719-4581 | |
| Not Available |
| Full Name | Notice That - Therapy & Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1307 Jamestown Rd Ste 101, Williamsburg, Virginia |
| Authorized Official Name and Position | Nassim Hartung (OWNER) |
| Authorized Official Contact | 7577194581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Notice That - Therapy & Consulting Llc 4749 Williamsburg Glade Williamsburg VA 23185-2113 Ph: (757) 719-4185 | Notice That - Therapy & Consulting Llc 1307 Jamestown Rd Ste 101 Williamsburg VA 23185-3381 Ph: (757) 719-4581 |
| NPI Number | 1053010363 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 2163860503 |
|---|---|
| Medicare Enrollment ID | O20240404002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053010363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nassim Hartung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235795683 PECOS PAC ID: 3072951417 Enrollment ID: I20240404002731 |
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