| The Counseling Center | |
|
102 Church St Tazewell VA 24651-1302 | |
| (276) 979-0447 | |
| (276) 979-0480 |
| Full Name | The Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 102 Church St, Tazewell, Virginia |
| Authorized Official Name and Position | Donna L Havens (OWNER) |
| Authorized Official Contact | 2769790447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Center 102 Church St Tazewell VA 24651-1302 Ph: (276) 979-0447 | The Counseling Center 102 Church St Tazewell VA 24651-1302 Ph: (276) 979-0447 |
| NPI Number | 1720192735 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840180246 |
|---|---|
| Medicare Enrollment ID | O20040318001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720192735 | NPI | - | NPPES |
| 257837 | Other | VA | MTN. STATE BC/BS |
| 171897 | Other | VA | COMPSYCH |
| 01843900 | Other | VA | MAGELLAN |
| DA0938 | Other | VA | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Donna L Havens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487768495 PECOS PAC ID: 9234179565 Enrollment ID: I20070410000326 |
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