| Starkewood Christian Counseling Services, P.c. | |
|
589 S Crater Rd Petersburg VA 23803-5263 | |
| (804) 733-8585 | |
| (804) 733-9066 |
| Full Name | Starkewood Christian Counseling Services, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 589 S Crater Rd, Petersburg, Virginia |
| Authorized Official Name and Position | Lawrence C Starke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8047338585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starkewood Christian Counseling Services, P.c. 1742 Berkeley Ave Petersburg VA 23805-2806 Ph: (804) 733-8585 | Starkewood Christian Counseling Services, P.c. 589 S Crater Rd Petersburg VA 23803-5263 Ph: (804) 733-8585 |
| NPI Number | 1295983914 |
|---|---|
| Provider Enumeration Date | 09/06/2008 |
| Last Update Date | 09/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295983914 | NPI | - | NPPES |
| 010243696 | Medicaid | VA | |
| 010336449 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701003843 (Virginia) | Primary |
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