| Achieving Balance Counseling Llc | |
|
4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 | |
| (540) 772-1872 | |
| Not Available |
| Full Name | Achieving Balance Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4220 Cypress Park Dr Ste B, Roanoke, Virginia |
| Authorized Official Name and Position | Jeffrey Letchford (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5403556957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieving Balance Counseling Llc 4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 Ph: () - | Achieving Balance Counseling Llc 4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 Ph: (540) 772-1872 |
| NPI Number | 1730782640 |
|---|---|
| Provider Enumeration Date | 11/21/2020 |
| Last Update Date | 11/21/2020 |
| Certification Date | 11/21/2020 |
| Medicare PECOS PAC ID | 7618382474 |
|---|---|
| Medicare Enrollment ID | O20210209002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730782640 | NPI | - | NPPES |
| 0004945221 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Letchford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538705413 PECOS PAC ID: 1850728528 Enrollment ID: I20200219002269 |
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