| Hypnotransformations, Llc | |
|
12001 Timber Trail Dr Midlothian VA 23112-3129 | |
| (804) 615-7945 | |
| Not Available |
| Full Name | Hypnotransformations, Llc |
|---|---|
| Speciality | Counselor |
| Location | 12001 Timber Trail Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Kimberly Tolson (CEO) |
| Authorized Official Contact | 8046157945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hypnotransformations, Llc 12001 Timber Trail Dr Midlothian VA 23112-3129 Ph: (804) 615-7945 | Hypnotransformations, Llc 12001 Timber Trail Dr Midlothian VA 23112-3129 Ph: (804) 615-7945 |
| NPI Number | 1639537095 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/02/2016 |
| Medicare PECOS PAC ID | 9931403581 |
|---|---|
| Medicare Enrollment ID | O20160202002307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639537095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1210571 (Virginia) | Primary |
| Provider Name | Kimberly W Tolson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326213323 PECOS PAC ID: 4385948934 Enrollment ID: I20160202002385 |
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