| Brain Matters Therapy, Pllc | |
|
546 Virginia Ave Bluefield VA 24605-1729 | |
| (276) 970-9747 | |
| Not Available |
| Full Name | Brain Matters Therapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 546 Virginia Ave, Bluefield, Virginia |
| Authorized Official Name and Position | Antonia Porter (OWNER) |
| Authorized Official Contact | 2769709747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Matters Therapy, Pllc 75 Sedgewood Mnr Bluefield VA 24605-9316 Ph: (305) 432-1672 | Brain Matters Therapy, Pllc 546 Virginia Ave Bluefield VA 24605-1729 Ph: (276) 970-9747 |
| NPI Number | 1174081988 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174081988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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