| Shenandoah Professional Counseling, Llc | |
|
133 W Boscawen St Suite 11 Winchester VA 22601-4190 | |
| (540) 662-3455 | |
| (540) 662-3455 |
| Full Name | Shenandoah Professional Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 133 W Boscawen St, Winchester, Virginia |
| Authorized Official Name and Position | Susan J Smoot (SOLO PRACTIONER) |
| Authorized Official Contact | 5406623455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Professional Counseling, Llc 133 W Boscawen St Suite 11 Winchester VA 22601-4190 Ph: (540) 662-3455 | Shenandoah Professional Counseling, Llc 133 W Boscawen St Suite 11 Winchester VA 22601-4190 Ph: (540) 662-3455 |
| NPI Number | 1154398436 |
|---|---|
| Provider Enumeration Date | 03/04/2006 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154398436 | NPI | - | NPPES |
| 010223393 | Medicaid | VA | |
| O86004M | Other | VA | SENTARA/FAMIS/EAP |
| 086004M | Other | VA | OPTIMA/COMMUNITY HEALTH |
| 010234549 | Medicaid | VA | |
| 184671 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003862 (Virginia) | Primary |
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