Pine Ridge Therapy Services Pllc | |
5570 Richmond Rd Ste 203 Troy VA 22974-4421 | |
(304) 777-9384 | |
Not Available |
Full Name | Pine Ridge Therapy Services Pllc |
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Speciality | Social Worker |
Location | 5570 Richmond Rd Ste 203, Troy, Virginia |
Authorized Official Name and Position | Laura Elizabeth Moyers (CLINICIAN) |
Authorized Official Contact | 3047779384 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pine Ridge Therapy Services Pllc 2285 Rose Hill Church Ln Charlottesville VA 22902-7588 Ph: (304) 777-9384 | Pine Ridge Therapy Services Pllc 5570 Richmond Rd Ste 203 Troy VA 22974-4421 Ph: (304) 777-9384 |
NPI Number | 1124656798 |
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Provider Enumeration Date | 03/30/2020 |
Last Update Date | 04/03/2020 |
Certification Date | 04/03/2020 |
Medicare PECOS PAC ID | 9032548466 |
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Medicare Enrollment ID | O20200406000773 |
Identifier | Type | State | Issuer |
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1124656798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Laura E Moyers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407353162 PECOS PAC ID: 1759636988 Enrollment ID: I20180612001608 |
Barbara J. Blair, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5578 Richmond Rd Ste 202, Troy, VA 22974 Phone: 434-249-7743 Fax: 888-274-4862 | |
Strength & Ease Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Kathys Ln, Troy, VA 22974 Phone: 434-760-4321 |