| Westlake Counseling Services, Llc | |
|
74 Scruggs Rd Ste 104 Moneta VA 24121-6330 | |
| (540) 912-8204 | |
| Not Available |
| Full Name | Westlake Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 74 Scruggs Rd Ste 104, Moneta, Virginia |
| Authorized Official Name and Position | Carol A Sharp (OWNER) |
| Authorized Official Contact | 8603734400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Counseling Services, Llc 74 Scruggs Rd Ste 104 Moneta VA 24121-6330 Ph: (540) 912-8204 | Westlake Counseling Services, Llc 74 Scruggs Rd Ste 104 Moneta VA 24121-6330 Ph: (540) 912-8204 |
| NPI Number | 1639870421 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 4284092958 |
|---|---|
| Medicare Enrollment ID | O20230628001535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639870421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carol Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891085734 PECOS PAC ID: 9830368026 Enrollment ID: I20230801000551 |
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