| Redemption Services, Llc. | |
|
304 S Heber St Beckley WV 25801-5423 | |
| (681) 238-6412 | |
| Not Available |
| Full Name | Redemption Services, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 304 S Heber St, Beckley, West Virginia |
| Authorized Official Name and Position | Bradford Wayne Phillips (EXECUTIVE MANAGEMENT) |
| Authorized Official Contact | 6812386412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redemption Services, Llc. 304 S Heber St Beckley WV 25801-5423 Ph: (681) 238-6412 | Redemption Services, Llc. 304 S Heber St Beckley WV 25801-5423 Ph: (681) 238-6412 |
| NPI Number | 1770047060 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 5991175879 |
|---|---|
| Medicare Enrollment ID | O20230111000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770047060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carla M White Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033694989 PECOS PAC ID: 2163892043 Enrollment ID: I20230119001471 |
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