Suzanne Souders Lcsw Pllc | |
25 Office Park Dr Ste 2 Kilmarnock VA 22482-2805 | |
(804) 577-0186 | |
Not Available |
Full Name | Suzanne Souders Lcsw Pllc |
---|---|
Speciality | Clinic/Center |
Location | 25 Office Park Dr Ste 2, Kilmarnock, Virginia |
Authorized Official Name and Position | M Suzanne Souders (OWNER) |
Authorized Official Contact | 8045770186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Suzanne Souders Lcsw Pllc Po Box 1663 Kilmarnock VA 22482-1663 Ph: () - | Suzanne Souders Lcsw Pllc 25 Office Park Dr Ste 2 Kilmarnock VA 22482-2805 Ph: (804) 577-0186 |
NPI Number | 1164073813 |
---|---|
Provider Enumeration Date | 09/24/2019 |
Last Update Date | 09/24/2019 |
Medicare PECOS PAC ID | 3779815444 |
---|---|
Medicare Enrollment ID | O20191030000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164073813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Mary S Souders |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487824603 PECOS PAC ID: 4587984190 Enrollment ID: I20150521002740 |
Bon Secours Kilmarnock Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 N Main St, Kilmarnock, VA 22482 Phone: 804-435-2651 Fax: 804-435-2302 | |
Bon Secours Kilmarnock Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 N Main St, Kilmarnock, VA 22482 Phone: 804-435-2651 Fax: 804-435-2302 | |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Rd, Medical Building 6, Kilmarnock, VA 22482 Phone: 804-435-0023 Fax: 804-435-0025 | |
Chesapeake Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Drive, Kilmarnock, VA 22482 Phone: 804-435-8000 Fax: 804-435-8037 | |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Rd, Medical Building 6, Kilmarnock, VA 22482 Phone: 804-435-0023 Fax: 804-435-0025 | |
Chesapeake Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Harris Road, Kilmarnock, VA 22482 Phone: 804-435-2651 Fax: 804-435-2302 |