| Optimum Resiliency Llc | |
|
31 Village Grove Rd Fredericksburg VA 22406-7272 | |
| (540) 501-7254 | |
| Not Available |
| Full Name | Optimum Resiliency Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 31 Village Grove Rd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Dana Lanham (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5405017254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Resiliency Llc 31 Village Grove Rd Fredericksburg VA 22406-7272 Ph: () - | Optimum Resiliency Llc 31 Village Grove Rd Fredericksburg VA 22406-7272 Ph: (540) 501-7254 |
| NPI Number | 1063112621 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063112621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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