| Drlullaby Llc | |
|
9230 Old Keene Mill Rd Burke VA 22015-4201 | |
| (844) 475-3379 | |
| Not Available |
| Full Name | Drlullaby Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9230 Old Keene Mill Rd, Burke, Virginia |
| Authorized Official Name and Position | Lisa Ann Medalie (CEO) |
| Authorized Official Contact | 6199975759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drlullaby Llc 1440 W Taylor St # 556 Chicago IL 60607-4623 Ph: (844) 475-3379 | Drlullaby Llc 9230 Old Keene Mill Rd Burke VA 22015-4201 Ph: (844) 475-3379 |
| NPI Number | 1164138731 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 9931507290 |
|---|---|
| Medicare Enrollment ID | O20230511001312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164138731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jayme Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174939144 PECOS PAC ID: 7416174552 Enrollment ID: I20230511001730 |
Jack A Merenda, Psy.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9306 Old Keene Mill Rd, B, Burke, VA 22015 Phone: 703-474-8905 | |
Reset And Reflect Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9230 Old Keene Mill Rd # 1069, Burke, VA 22015 Phone: 571-989-3741 | |
Martin G. Schuh, Ph.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9306 Old Keene Mill Rd Ste B, Burke, VA 22015 Phone: 703-440-9284 | |
Putnam Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5641 Burke Centre Pkwy Ste 124, Burke, VA 22015 Phone: 571-314-5582 | |
Pathways Psychological Services Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5641 Burke Centre Pkwy Ste 133, Burke, VA 22015 Phone: 202-503-4188 | |
William B. Zuckerman, Phd, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8987 Cotswold Dr, Burke, VA 22015 Phone: 703-764-0700 Fax: 703-764-3068 |