| Wise Mind Counseling, Pllc | |
|
1500 Lakeview Pkwy Locust Grove VA 22508-5318 | |
| (571) 412-1912 | |
| Not Available |
| Full Name | Wise Mind Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1500 Lakeview Pkwy, Locust Grove, Virginia |
| Authorized Official Name and Position | Leslie Dana Bottoms (OWNER) |
| Authorized Official Contact | 5714121912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Counseling, Pllc 1500 Lakeview Pkwy Locust Grove VA 22508-5318 Ph: (571) 412-1912 | Wise Mind Counseling, Pllc 1500 Lakeview Pkwy Locust Grove VA 22508-5318 Ph: (571) 412-1912 |
| NPI Number | 1649084534 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649084534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Empower Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Monument Rd, Locust Grove, VA 22508 Phone: 339-223-7371 | |