| Rva Therapeutic Counseling Plc | |
|
600 Founders Bridge Blvd Midlothian VA 23113-6309 | |
| (804) 210-5448 | |
| Not Available |
| Full Name | Rva Therapeutic Counseling Plc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Founders Bridge Blvd, Midlothian, Virginia |
| Authorized Official Name and Position | Jennifer M Zito (SOCIAL WORKER) |
| Authorized Official Contact | 8042105448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rva Therapeutic Counseling Plc 1900 E Cary St Apt 309a Richmond VA 23223-6991 Ph: (804) 400-9253 | Rva Therapeutic Counseling Plc 600 Founders Bridge Blvd Midlothian VA 23113-6309 Ph: (804) 210-5448 |
| NPI Number | 1588395222 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Medicare PECOS PAC ID | 5597133736 |
|---|---|
| Medicare Enrollment ID | O20221121000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588395222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Zito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073151791 PECOS PAC ID: 3476972142 Enrollment ID: I20200929003247 |
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