| The Madeline Center...at Home, Inc. | |
|
18697 Forest Rd Lynchburg VA 24502-4363 | |
| (434) 239-0003 | |
| (434) 239-0181 |
| Full Name | The Madeline Center...at Home, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18697 Forest Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Deborah Hall Berkley (OWNER) |
| Authorized Official Contact | 4342390003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Madeline Center...at Home, Inc. 18697 Forest Rd Lynchburg VA 24502-4363 Ph: (434) 239-0003 | The Madeline Center...at Home, Inc. 18697 Forest Rd Lynchburg VA 24502-4363 Ph: (434) 239-0003 |
| NPI Number | 1952315889 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952315889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 813 (Virginia) | Primary |
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