| Rediscover Yourself Counseling Services, Llc | |
|
135 Scenic View Cir Wytheville VA 24382-1319 | |
| (408) 385-0005 | |
| Not Available |
| Full Name | Rediscover Yourself Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 135 Scenic View Cir, Wytheville, Virginia |
| Authorized Official Name and Position | Kristyna Lea Lathem (OWNER) |
| Authorized Official Contact | 5408385000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediscover Yourself Counseling Services, Llc 135 Scenic View Cir Wytheville VA 24382-1319 Ph: (408) 385-0005 | Rediscover Yourself Counseling Services, Llc 135 Scenic View Cir Wytheville VA 24382-1319 Ph: (408) 385-0005 |
| NPI Number | 1639957830 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 3476906827 |
|---|---|
| Medicare Enrollment ID | O20240201001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639957830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kristyna Lathem |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144937129 PECOS PAC ID: 5799138145 Enrollment ID: I20240201001597 |
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