| Agewell Counseling Llc | |
|
5529 Snead Rd Richmond VA 23224-6038 | |
| (804) 840-2623 | |
| Not Available |
| Full Name | Agewell Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5529 Snead Rd, Richmond, Virginia |
| Authorized Official Name and Position | Terrie Lynn Pendleton (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 8048402623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agewell Counseling Llc Po Box 5192 Midlothian VA 23112-0020 Ph: (804) 840-2623 | Agewell Counseling Llc 5529 Snead Rd Richmond VA 23224-6038 Ph: (804) 840-2623 |
| NPI Number | 1225517642 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225517642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004927 (Virginia) | Primary |
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