Renewal, Growth, & Healing | |
8545 Patterson Ave Ste 201 Henrico VA 23229-6455 | |
(804) 901-1570 | |
(804) 442-7111 |
Full Name | Renewal, Growth, & Healing |
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Speciality | Social Worker |
Location | 8545 Patterson Ave Ste 201, Henrico, Virginia |
Authorized Official Name and Position | Dreamel Spady (OWNER) |
Authorized Official Contact | 8049011570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Renewal, Growth, & Healing 8545 Patterson Ave Ste 201 Henrico VA 23229-6455 Ph: (804) 901-1570 | Renewal, Growth, & Healing 8545 Patterson Ave Ste 201 Henrico VA 23229-6455 Ph: (804) 901-1570 |
NPI Number | 1679141972 |
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Provider Enumeration Date | 06/14/2021 |
Last Update Date | 06/30/2021 |
Certification Date | 06/30/2021 |
Medicare PECOS PAC ID | 5799189270 |
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Medicare Enrollment ID | O20210805000499 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679141972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Dreamel Spady |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992095525 PECOS PAC ID: 8325226277 Enrollment ID: I20110624000343 |
Provider Name | Emily Layman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609491455 PECOS PAC ID: 0648610709 Enrollment ID: I20240507000082 |
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