| Mr Keith Oso Engel, LCSW, BCD | |
|
3530 N Courthouse Rd, Providence Forge, VA 23140-3408 | |
| (804) 409-7525 | |
| (804) 315-9380 |
| Full Name | Mr Keith Oso Engel |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 3530 N Courthouse Rd, Providence Forge, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851837157 | NPI | - | NPPES |
| 853101757 | Other | VA | OSO WELLNESS |
| 805996620 | Other | TX | OSO WELLNESS, PLLC |
| Entity Name | Mind Meld Psychotherapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114599958 PECOS PAC ID: 8426454802 Enrollment ID: O20210909003773 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Oso Engel, LCSW, BCD 1731 Upland Rd, Waxahachie, TX 75165-1677 Ph: (804) 409-7525 | Mr Keith Oso Engel, LCSW, BCD 3530 N Courthouse Rd, Providence Forge, VA 23140-3408 Ph: (804) 409-7525 |
Mr. Kent Paul Radwani, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocohontas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 | |
Jessica A Pugh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocahontas Trl # A, Providence Forge, VA 23140 Phone: 804-727-8970 | |
Andrea Michelle Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9403 Pocohantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Ms. Janice V. Atwell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9403 Pocohantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Steven David, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3530 N Courthouse Rd, Providence Forge, VA 23140 Phone: 804-409-7525 Fax: 804-315-9380 | |
Ms. Wendy Dickerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 A Pocahantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 |