Yvonne M. Fall, Lpc, Llc | |
9568 Kings Charter Dr Ste 103 Ashland VA 23005-7955 | |
(804) 412-8515 | |
(844) 809-7256 |
Full Name | Yvonne M. Fall, Lpc, Llc |
---|---|
Speciality | Counselor |
Location | 9568 Kings Charter Dr Ste 103, Ashland, Virginia |
Authorized Official Name and Position | Yvonne M Fall (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 8044128515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Yvonne M. Fall, Lpc, Llc 9568 Kings Charter Dr Ste 103 Ashland VA 23005-7955 Ph: (804) 412-8515 | Yvonne M. Fall, Lpc, Llc 9568 Kings Charter Dr Ste 103 Ashland VA 23005-7955 Ph: (804) 412-8515 |
NPI Number | 1588438154 |
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Provider Enumeration Date | 11/14/2023 |
Last Update Date | 11/14/2023 |
Certification Date | 11/14/2023 |
Medicare PECOS PAC ID | 2062959885 |
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Medicare Enrollment ID | O20240730000456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588438154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Yvonne M Fall |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871855668 PECOS PAC ID: 7113464934 Enrollment ID: I20240730000664 |
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