Diverse Expressions Counseling Llc | |
46179 Westlake Dr Ste 220 Sterling VA 20165-5874 | |
(571) 307-2324 | |
(937) 606-3077 |
Full Name | Diverse Expressions Counseling Llc |
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Speciality | Social Worker |
Location | 46179 Westlake Dr Ste 220, Sterling, Virginia |
Authorized Official Name and Position | Candice West (BILLING ADMIN) |
Authorized Official Contact | 9373608434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diverse Expressions Counseling Llc 46179 Westlake Dr Ste 220 Sterling VA 20165-5874 Ph: (571) 307-2324 | Diverse Expressions Counseling Llc 46179 Westlake Dr Ste 220 Sterling VA 20165-5874 Ph: (571) 307-2324 |
NPI Number | 1811679038 |
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Provider Enumeration Date | 08/07/2023 |
Last Update Date | 08/07/2023 |
Certification Date | 08/07/2023 |
Medicare PECOS PAC ID | 0143678482 |
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Medicare Enrollment ID | O20231128001743 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811679038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Stephanie Bile Oulatta |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285290148 PECOS PAC ID: 2961850201 Enrollment ID: I20231128001896 |
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