| Poling Therapeutic Group Llc | |
|
3617 Buttermilk Creek Rd Rockingham VA 22802-1022 | |
| (540) 830-1777 | |
| (540) 466-1770 |
| Full Name | Poling Therapeutic Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3617 Buttermilk Creek Rd, Rockingham, Virginia |
| Authorized Official Name and Position | Jeremy Poling (OWNER) |
| Authorized Official Contact | 5408301777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poling Therapeutic Group Llc 187 Valley View Ave Mount Sidney VA 24467-2205 Ph: (540) 830-1777 | Poling Therapeutic Group Llc 3617 Buttermilk Creek Rd Rockingham VA 22802-1022 Ph: (540) 830-1777 |
| NPI Number | 1104417948 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104417948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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