| Spiritually Inspired Transformation Services | |
|
104 Wexford Ct Yorktown VA 23693-4597 | |
| (757) 300-7099 | |
| Not Available |
| Full Name | Spiritually Inspired Transformation Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 Wexford Ct, Yorktown, Virginia |
| Authorized Official Name and Position | Yaisa Goodwin (CREDENTIALING CONSULTANT) |
| Authorized Official Contact | 7573398798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiritually Inspired Transformation Services 104 Wexford Ct Yorktown VA 23693-4597 Ph: (757) 300-7099 | Spiritually Inspired Transformation Services 104 Wexford Ct Yorktown VA 23693-4597 Ph: (757) 300-7099 |
| NPI Number | 1861980260 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861980260 | NPI | - | NPPES |
| 1750823803 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009647 (Virginia) | Primary |
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