| Valerie Shaw Counseling, Llc | |
|
31 E Carolina Ave Apt 308 Memphis TN 38103-4550 | |
| (901) 481-7473 | |
| Not Available |
| Full Name | Valerie Shaw Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 31 E Carolina Ave Apt 308, Memphis, Tennessee |
| Authorized Official Name and Position | Valerie Shaw (CEO/PRESIDENT) |
| Authorized Official Contact | 9014817473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie Shaw Counseling, Llc 31 E Carolina Ave Apt 308 Memphis TN 38103-4550 Ph: (901) 481-7473 | Valerie Shaw Counseling, Llc 31 E Carolina Ave Apt 308 Memphis TN 38103-4550 Ph: (901) 481-7473 |
| NPI Number | 1093428526 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 5597135491 |
|---|---|
| Medicare Enrollment ID | O20230111001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093428526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Valerie L Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043514847 PECOS PAC ID: 5890060651 Enrollment ID: I20210629001106 |
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