| Plum Counseling & Wellness, Llc | |
|
44135 Woodridge Pkwy Ste 260 Leesburg VA 20176-1244 | |
| (504) 330-6596 | |
| Not Available |
| Full Name | Plum Counseling & Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44135 Woodridge Pkwy Ste 260, Leesburg, Virginia |
| Authorized Official Name and Position | Jessie Campbell Bohnenkamp (OWNER) |
| Authorized Official Contact | 5043306596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Counseling & Wellness, Llc 1106 Homeric St Se Leesburg VA 20175-5126 Ph: (504) 330-6596 | Plum Counseling & Wellness, Llc 44135 Woodridge Pkwy Ste 260 Leesburg VA 20176-1244 Ph: (504) 330-6596 |
| NPI Number | 1720610157 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720610157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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