| Skinner Holistic Health Corporation | |
|
158 Pleasant Shade Dr Emporia VA 23847-7837 | |
| (434) 348-9071 | |
| (434) 336-0835 |
| Full Name | Skinner Holistic Health Corporation |
|---|---|
| Speciality | Counselor - Professional |
| Location | 158 Pleasant Shade Dr, Emporia, Virginia |
| Authorized Official Name and Position | Marvin Eugene Skinner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4343489071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skinner Holistic Health Corporation 158 Pleasant Shade Dr Emporia VA 23847-7837 Ph: (434) 348-9071 | Skinner Holistic Health Corporation 158 Pleasant Shade Dr Emporia VA 23847-7837 Ph: (434) 348-9071 |
| NPI Number | 1487862579 |
|---|---|
| Provider Enumeration Date | 05/20/2007 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487862579 | NPI | - | NPPES |
| 188273 | Medicaid | VA | |
| 086374 | Medicaid | VA | |
| 4945280 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701000744 (Virginia) | Primary |
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