| Pack Light Counseling, Llc | |
|
9157 Atlee Rd Ste A Mechanicsville VA 23116 | |
| (540) 314-5811 | |
| (844) 236-4057 |
| Full Name | Pack Light Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9157 Atlee Rd Ste A, Mechanicsville, Virginia |
| Authorized Official Name and Position | Ashlee Chantel Murphy (OWNER) |
| Authorized Official Contact | 5403145811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pack Light Counseling, Llc 7264 Merle Smith Ln Mechanicsville VA 23111-5029 Ph: (540) 314-5811 | Pack Light Counseling, Llc 9157 Atlee Rd Ste A Mechanicsville VA 23116 Ph: (540) 314-5811 |
| NPI Number | 1487146510 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 08/30/2018 |
| Medicare PECOS PAC ID | 1052653987 |
|---|---|
| Medicare Enrollment ID | O20190425000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487146510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904010374 (Virginia) | Primary |
| Provider Name | Ashlee M Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427558188 PECOS PAC ID: 2961744891 Enrollment ID: I20190425001085 |
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