| Red Thread Center Inc | |
|
827 Day Ave Sw Roanoke VA 24016-3819 | |
| (772) 486-9109 | |
| Not Available |
| Full Name | Red Thread Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 827 Day Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Darcy Flierl (OWNER/PROVIDER) |
| Authorized Official Contact | 7724869109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Thread Center Inc 827 Day Ave Sw Roanoke VA 24016-3819 Ph: (772) 486-9109 | Red Thread Center Inc 827 Day Ave Sw Roanoke VA 24016-3819 Ph: (772) 486-9109 |
| NPI Number | 1396354270 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 1456778356 |
|---|---|
| Medicare Enrollment ID | O20200824001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396354270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Darcy H Flierl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912166489 PECOS PAC ID: 2163726951 Enrollment ID: I20160216000346 |
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