| Community Living, Inc | |
|
314 E Atlantic St South Hill VA 23970-2006 | |
| (434) 447-8381 | |
| (434) 447-8381 |
| Full Name | Community Living, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 314 E Atlantic St, South Hill, Virginia |
| Authorized Official Name and Position | Teri Bistarkey (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4344478381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Living, Inc Po Box 876 Bracey VA 23919-0876 Ph: (434) 447-8381 | Community Living, Inc 314 E Atlantic St South Hill VA 23970-2006 Ph: (434) 447-8381 |
| NPI Number | 1912197559 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Medicare PECOS PAC ID | 2860577731 |
|---|---|
| Medicare Enrollment ID | O20230210001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912197559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004677 (Virginia) | Primary |
| 251C00000X | Day Training, Developmentally Disabled Services | 823 (Virginia) | Secondary |
| Provider Name | Teri Ann Bistarkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629047865 PECOS PAC ID: 6103869425 Enrollment ID: I20230217002066 |
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