| Journeys Senior Solutions Llc | |
|
277 Foxbrook Ln Louisa VA 23093-4042 | |
| (540) 223-1144 | |
| (540) 967-0731 |
| Full Name | Journeys Senior Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 277 Foxbrook Ln, Louisa, Virginia |
| Authorized Official Name and Position | Wendy Smith (OWNER) |
| Authorized Official Contact | 5402231144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeys Senior Solutions Llc 277 Foxbrook Ln Po Box 1733 Louisa VA 23093-4042 Ph: (540) 223-1144 | Journeys Senior Solutions Llc 277 Foxbrook Ln Louisa VA 23093-4042 Ph: (540) 223-1144 |
| NPI Number | 1104119429 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 05/19/2011 |
| Medicare PECOS PAC ID | 4587840863 |
|---|---|
| Medicare Enrollment ID | O20110523000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104119429 | NPI | - | NPPES |
| 1508161191 | Other | VA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904007401 (Virginia) | Primary |
| Provider Name | Wendy A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508161191 PECOS PAC ID: 1557547833 Enrollment ID: I20110523000109 |
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