| Thriving Families Counseling, Llc | |
|
1719 Grandin Rd Sw Roanoke VA 24015-2815 | |
| (540) 915-6472 | |
| (540) 915-6472 |
| Full Name | Thriving Families Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1719 Grandin Rd Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Susan L Owen (OWNER) |
| Authorized Official Contact | 5409156472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Families Counseling, Llc 5052 Pleasant Hill Dr Roanoke VA 24018-3456 Ph: (540) 915-6472 | Thriving Families Counseling, Llc 1719 Grandin Rd Sw Roanoke VA 24015-2815 Ph: (540) 915-6472 |
| NPI Number | 1467973859 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
| Medicare PECOS PAC ID | 4587904099 |
|---|---|
| Medicare Enrollment ID | O20190320001305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467973859 | NPI | - | NPPES |
| 1265442503 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 094005310 (Virginia) | Primary |
| Provider Name | Susan L Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265442503 PECOS PAC ID: 0345413191 Enrollment ID: I20111024000457 |
| Provider Name | Summer J Wimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740934223 PECOS PAC ID: 0840685657 Enrollment ID: I20220314001742 |
| Provider Name | Brandon D Mcghee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356048128 PECOS PAC ID: 3779957253 Enrollment ID: I20230323003067 |
| Provider Name | Samantha L Heckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962108431 PECOS PAC ID: 3779957162 Enrollment ID: I20230327001370 |
| Provider Name | Kristen D Flanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568168037 PECOS PAC ID: 7012382526 Enrollment ID: I20230417000182 |
| Provider Name | Cecelia Anna Venzie Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912541244 PECOS PAC ID: 1951754803 Enrollment ID: I20240127000470 |
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