| The Rivers Of Hope Counseling Center Llc | |
|
4229 Lafayette Center Dr Ste 1675 Chantilly VA 20151-1270 | |
| (855) 326-4673 | |
| Not Available |
| Full Name | The Rivers Of Hope Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 4229 Lafayette Center Dr Ste 1675, Chantilly, Virginia |
| Authorized Official Name and Position | Charmaine Renee Dockett (THERAPIST/OWNER) |
| Authorized Official Contact | 2023306034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rivers Of Hope Counseling Center Llc 906 Ne 13th Pl Cape Coral FL 33909-1510 Ph: (855) 326-4673 | The Rivers Of Hope Counseling Center Llc 4229 Lafayette Center Dr Ste 1675 Chantilly VA 20151-1270 Ph: (855) 326-4673 |
| NPI Number | 1922607977 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 1254706567 |
|---|---|
| Medicare Enrollment ID | O20240117003594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922607977 | NPI | - | NPPES |
| Provider Name | Jessica Holesko |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447988472 PECOS PAC ID: 5496106015 Enrollment ID: I20240109000320 |
| Provider Name | Charmaine Dockett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780285189 PECOS PAC ID: 8426423732 Enrollment ID: I20240117003661 |
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