Vstar Behavioral Health Services | |
126 E Main St Ste B Union City TN 38261-3350 | |
(731) 599-9929 | |
Not Available |
Full Name | Vstar Behavioral Health Services |
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Speciality | Social Worker |
Location | 126 E Main St Ste B, Union City, Tennessee |
Authorized Official Name and Position | Virgil Williams (PRESIDENT & CEO) |
Authorized Official Contact | 7315999929 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vstar Behavioral Health Services 126 E Main St Ste B Union City TN 38261-3350 Ph: (731) 599-9929 | Vstar Behavioral Health Services 126 E Main St Ste B Union City TN 38261-3350 Ph: (731) 599-9929 |
NPI Number | 1336854041 |
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Provider Enumeration Date | 01/17/2023 |
Last Update Date | 06/05/2023 |
Certification Date | 06/05/2023 |
Medicare PECOS PAC ID | 0648637702 |
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Medicare Enrollment ID | O20230605001879 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336854041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Virgil M Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114165339 PECOS PAC ID: 7416937628 Enrollment ID: I20230605002352 |
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