| Tanglewood Therapy Pllc | |
|
3604 Sutherland Ct Warrenton VA 20187-3973 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Tanglewood Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3604 Sutherland Ct, Warrenton, Virginia |
| Authorized Official Name and Position | Gina Lyn Pincosy (LCSW) |
| Authorized Official Contact | 8552786477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanglewood Therapy Pllc 3604 Sutherland Ct Warrenton VA 20187-3973 Ph: (000) 000-0000 | Tanglewood Therapy Pllc 3604 Sutherland Ct Warrenton VA 20187-3973 Ph: (000) 000-0000 |
| NPI Number | 1316396039 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316396039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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