| Roanoke Valley Counseling Center | |
|
2727 Electric Rd Ste 103 Roanoke VA 24018-3500 | |
| (540) 354-0911 | |
| (540) 283-0769 |
| Full Name | Roanoke Valley Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 2727 Electric Rd Ste 103, Roanoke, Virginia |
| Authorized Official Name and Position | Thomas Lee Heasley (DIRECTOR) |
| Authorized Official Contact | 5403558578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roanoke Valley Counseling Center 2727 Electric Rd Ste 103 Roanoke VA 24018-3500 Ph: (540) 354-0911 | Roanoke Valley Counseling Center 2727 Electric Rd Ste 103 Roanoke VA 24018-3500 Ph: (540) 354-0911 |
| NPI Number | 1932569316 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1153700760 |
|---|---|
| Medicare Enrollment ID | O20220628000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932569316 | NPI | - | NPPES |
| Provider Name | Sonia Jacqueline Trundy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588007538 PECOS PAC ID: 2062776552 Enrollment ID: I20180509001990 |
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