| Roselli Counseling & Coaching Services, Pllc | |
|
10306 Eaton Pl Ste 300 Fairfax VA 22030-2201 | |
| (703) 634-3080 | |
| (703) 991-9111 |
| Full Name | Roselli Counseling & Coaching Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10306 Eaton Pl Ste 300, Fairfax, Virginia |
| Authorized Official Name and Position | Richard Roselli (OWNER) |
| Authorized Official Contact | 7036343080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roselli Counseling & Coaching Services, Pllc 10306 Eaton Pl Ste 300 Fairfax VA 22030-2201 Ph: (703) 634-3080 | Roselli Counseling & Coaching Services, Pllc 10306 Eaton Pl Ste 300 Fairfax VA 22030-2201 Ph: (703) 634-3080 |
| NPI Number | 1962088534 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Medicare PECOS PAC ID | 0345648804 |
|---|---|
| Medicare Enrollment ID | O20211013002867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962088534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard Roselli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871873554 PECOS PAC ID: 9739432527 Enrollment ID: I20211013002921 |
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