Signs Of Change Counseling | |
8420 Dorsey Cir Manassas VA 20110-8300 | |
(571) 279-8144 | |
Not Available |
Full Name | Signs Of Change Counseling |
---|---|
Speciality | Community/Behavioral Health |
Location | 8420 Dorsey Cir, Manassas, Virginia |
Authorized Official Name and Position | Katharine Helene Mchugh (PRESIDENT) |
Authorized Official Contact | 5712798144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Signs Of Change Counseling 7937 Flager Cir Manassas VA 20109-7437 Ph: (571) 279-8144 | Signs Of Change Counseling 8420 Dorsey Cir Manassas VA 20110-8300 Ph: (571) 279-8144 |
NPI Number | 1801269857 |
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Provider Enumeration Date | 11/12/2015 |
Last Update Date | 11/12/2015 |
Medicare PECOS PAC ID | 2567761489 |
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Medicare Enrollment ID | O20160427002195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801269857 | NPI | - | NPPES |
004945247 | Medicaid | VA | |
020063P10 | Other | MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0904007119 (Virginia) | Primary |
Provider Name | Katharine H Mchugh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841424637 PECOS PAC ID: 4981757655 Enrollment ID: I20090728000301 |
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