| Oak Tree Wellness Center, Llc | |
|
290 Court Street Appomattox VA 24522 | |
| (434) 664-7706 | |
| (888) 886-3760 |
| Full Name | Oak Tree Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 290 Court Street, Appomattox, Virginia |
| Authorized Official Name and Position | Joy Beverly Bagby (OWNER) |
| Authorized Official Contact | 4346647706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Tree Wellness Center, Llc Po Box 783 Appomattox VA 24522-0783 Ph: (434) 664-7706 | Oak Tree Wellness Center, Llc 290 Court Street Appomattox VA 24522 Ph: (434) 664-7706 |
| NPI Number | 1801487855 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 1355783457 |
|---|---|
| Medicare Enrollment ID | O20240521001958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801487855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joy B Bagby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669492880 PECOS PAC ID: 5991147092 Enrollment ID: I20240521003014 |
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