| True To Self Counseling And Consulting | |
|
806 N 30th St Richmond VA 23223-6641 | |
| (804) 241-2324 | |
| Not Available |
| Full Name | True To Self Counseling And Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 806 N 30th St, Richmond, Virginia |
| Authorized Official Name and Position | Carla Elizabeth Randolph (SOLE PROPRIETOR) |
| Authorized Official Contact | 8042412324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True To Self Counseling And Consulting 806 N 30th St Richmond VA 23223-6641 Ph: (804) 241-2324 | True To Self Counseling And Consulting 806 N 30th St Richmond VA 23223-6641 Ph: (804) 241-2324 |
| NPI Number | 1033667936 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Medicare PECOS PAC ID | 5092136762 |
|---|---|
| Medicare Enrollment ID | O20200604001710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033667936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009394 (Virginia) | Primary |
| Provider Name | Carla Elizabeth Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407302573 PECOS PAC ID: 4082035753 Enrollment ID: I20200605000447 |
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