She Counseling Llc | |
1811 Roberts St Farmville VA 23901-2904 | |
(804) 491-6020 | |
Not Available |
Full Name | She Counseling Llc |
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Speciality | Counselor |
Location | 1811 Roberts St, Farmville, Virginia |
Authorized Official Name and Position | Kimberly S Bryant (OWNER) |
Authorized Official Contact | 8044916020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
She Counseling Llc 1811 Roberts St Farmville VA 23901-2904 Ph: (804) 491-6020 | She Counseling Llc 1811 Roberts St Farmville VA 23901-2904 Ph: (804) 491-6020 |
NPI Number | 1396507216 |
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Provider Enumeration Date | 01/25/2024 |
Last Update Date | 09/30/2024 |
Certification Date | 09/30/2024 |
Medicare PECOS PAC ID | 1951743707 |
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Medicare Enrollment ID | O20240523003973 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396507216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Kimberly Bryant |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275307712 PECOS PAC ID: 0941642797 Enrollment ID: I20240523004034 |
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