| Clinical Counseling And Consulting Of Virginia Pllc | |
|
4110 E Parham Rd Ste 208 Henrico VA 23228-2754 | |
| (804) 562-6527 | |
| Not Available |
| Full Name | Clinical Counseling And Consulting Of Virginia Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4110 E Parham Rd Ste 208, Henrico, Virginia |
| Authorized Official Name and Position | Kathy Locke (MANAGER/COUNSELOR) |
| Authorized Official Contact | 8045626527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Counseling And Consulting Of Virginia Pllc 4110 E Parham Rd Ste 208 Henrico VA 23228-2754 Ph: (804) 562-6527 | Clinical Counseling And Consulting Of Virginia Pllc 4110 E Parham Rd Ste 208 Henrico VA 23228-2754 Ph: (804) 562-6527 |
| NPI Number | 1417455031 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 1052673860 |
|---|---|
| Medicare Enrollment ID | O20180314001876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417455031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904010195 (Virginia) | Primary |
| Provider Name | Cherilyn Danielle Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962921247 PECOS PAC ID: 4284992355 Enrollment ID: I20171219000020 |
| Provider Name | Katherine S Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477051076 PECOS PAC ID: 2961764774 Enrollment ID: I20180314001926 |
| Provider Name | Wendy Khan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386915874 PECOS PAC ID: 0446672885 Enrollment ID: I20200612000700 |
| Provider Name | Rebecca T Waranch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437718988 PECOS PAC ID: 3870903370 Enrollment ID: I20201112001921 |
| Provider Name | Stephen Delo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568917698 PECOS PAC ID: 4981007861 Enrollment ID: I20210729002941 |
| Provider Name | Ann-katherine Vath Perdue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992475248 PECOS PAC ID: 0547668477 Enrollment ID: I20211007001550 |
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