Resilience Health, Llc | |
1525 Huguenot Rd Ste 201 Midlothian VA 23113-2438 | |
(804) 415-4113 | |
(804) 414-7580 |
Full Name | Resilience Health, Llc |
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Speciality | Psychiatry & Neurology |
Location | 1525 Huguenot Rd Ste 201, Midlothian, Virginia |
Authorized Official Name and Position | Collin Beatty (MANAGER) |
Authorized Official Contact | 7138993331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resilience Health, Llc 1525 Huguenot Rd Ste 201 Midlothian VA 23113-2438 Ph: (804) 415-4113 | Resilience Health, Llc 1525 Huguenot Rd Ste 201 Midlothian VA 23113-2438 Ph: (804) 415-4113 |
NPI Number | 1649770363 |
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Provider Enumeration Date | 02/19/2018 |
Last Update Date | 10/30/2019 |
Medicare PECOS PAC ID | 6002249786 |
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Medicare Enrollment ID | O20191211000795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649770363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Kara Keuthan Beatty |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811334832 PECOS PAC ID: 5890937874 Enrollment ID: I20191211000784 |
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