| Anchored Rock Counseling Llc | |
|
376 Mclaws Cir Ste 1a Williamsburg VA 23185-5860 | |
| (757) 251-0225 | |
| Not Available |
| Full Name | Anchored Rock Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 376 Mclaws Cir Ste 1a, Williamsburg, Virginia |
| Authorized Official Name and Position | David A Brockman (MANAGER) |
| Authorized Official Contact | 7572510225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Rock Counseling Llc 376 Mclaws Cir Ste 1a Williamsburg VA 23185-5860 Ph: () - | Anchored Rock Counseling Llc 376 Mclaws Cir Ste 1a Williamsburg VA 23185-5860 Ph: (757) 251-0225 |
| NPI Number | 1932925245 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Medicare PECOS PAC ID | 9335678978 |
|---|---|
| Medicare Enrollment ID | O20250127000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932925245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Penny Renee Brockman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235970989 PECOS PAC ID: 0244769883 Enrollment ID: I20250127000568 |
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