| Center For Care And Resiliency, Pllc | |
|
2774 Electric Rd Ste B Roanoke VA 24018-3586 | |
| (540) 344-5300 | |
| Not Available |
| Full Name | Center For Care And Resiliency, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2774 Electric Rd Ste B, Roanoke, Virginia |
| Authorized Official Name and Position | Joseph Iskandar (PRESIDENT) |
| Authorized Official Contact | 5403445300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Care And Resiliency, Pllc 2774 Electric Rd Ste B Roanoke VA 24018-3586 Ph: (540) 344-5300 | Center For Care And Resiliency, Pllc 2774 Electric Rd Ste B Roanoke VA 24018-3586 Ph: (540) 344-5300 |
| NPI Number | 1053902742 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Medicare PECOS PAC ID | 5395135420 |
|---|---|
| Medicare Enrollment ID | O20211206000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053902742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joseph Waheb Iskandar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215252143 PECOS PAC ID: 1557505823 Enrollment ID: I20150403000655 |
| Provider Name | Cecile Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578024824 PECOS PAC ID: 7517357163 Enrollment ID: I20211214001497 |
| Provider Name | Julia Price Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972268845 PECOS PAC ID: 7517358492 Enrollment ID: I20220104000959 |
| Provider Name | Katie Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215641071 PECOS PAC ID: 9234504317 Enrollment ID: I20230403000551 |
| Provider Name | Karen Hanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962936518 PECOS PAC ID: 5890066625 Enrollment ID: I20240117004606 |
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