| Rowan Tree Therapy Llc | |
|
13852 Grey Friars Ln Midlothian VA 23113-3938 | |
| (804) 464-7763 | |
| Not Available |
| Full Name | Rowan Tree Therapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 13852 Grey Friars Ln, Midlothian, Virginia |
| Authorized Official Name and Position | Kimberly Starr Rowan (SOLE OWNER/PROVIDER) |
| Authorized Official Contact | 8044647763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowan Tree Therapy Llc 13852 Grey Friars Ln Midlothian VA 23113-3938 Ph: (804) 464-7763 | Rowan Tree Therapy Llc 13852 Grey Friars Ln Midlothian VA 23113-3938 Ph: (804) 464-7763 |
| NPI Number | 1861117079 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 7618344078 |
|---|---|
| Medicare Enrollment ID | O20221028000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861117079 | NPI | - | NPPES |
| 1649568338 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly Rowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649568338 PECOS PAC ID: 1557533858 Enrollment ID: I20111010000601 |
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