| Choice Christian Counseling Llc | |
|
723 Twinridge Ln North Chesterfield VA 23235-5270 | |
| (804) 982-0405 | |
| Not Available |
| Full Name | Choice Christian Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 723 Twinridge Ln, North Chesterfield, Virginia |
| Authorized Official Name and Position | Dominic Carter (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8049820405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Christian Counseling Llc 10221 Krause Rd Chesterfield VA 23832-1323 Ph: (804) 982-0405 | Choice Christian Counseling Llc 723 Twinridge Ln North Chesterfield VA 23235-5270 Ph: (804) 982-0405 |
| NPI Number | 1396561080 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 1759801483 |
|---|---|
| Medicare Enrollment ID | O20250225000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396561080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dominic Rydell Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053136119 PECOS PAC ID: 2668992397 Enrollment ID: I20250225000834 |
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