| Nova Health And Wellness Llc | |
|
13305 Old Barn Ct Midlothian VA 23112-4874 | |
| (804) 601-0042 | |
| (804) 706-1640 |
| Full Name | Nova Health And Wellness Llc |
|---|---|
| Speciality | Assistant Behavior Analyst |
| Location | 13305 Old Barn Ct, Midlothian, Virginia |
| Authorized Official Name and Position | Khidhra S Poole (CEO) |
| Authorized Official Contact | 8046010042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Health And Wellness Llc 13305 Old Barn Ct Midlothian VA 23112-4874 Ph: (804) 601-0042 | Nova Health And Wellness Llc 13305 Old Barn Ct Midlothian VA 23112-4874 Ph: (804) 601-0042 |
| NPI Number | 1972146223 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972146223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Primary |
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