| Shumate Management Llc | |
|
1091 Cossman Ct Forest VA 24551-4698 | |
| (206) 235-0968 | |
| Not Available |
| Full Name | Shumate Management Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1091 Cossman Ct, Forest, Virginia |
| Authorized Official Name and Position | Holly Shumate (OWNER) |
| Authorized Official Contact | 2062350968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shumate Management Llc 1091 Cossman Ct Forest VA 24551-4698 Ph: (206) 235-0968 | Shumate Management Llc 1091 Cossman Ct Forest VA 24551-4698 Ph: (206) 235-0968 |
| NPI Number | 1487489134 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487489134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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