| Look Inside Therapy, LLC | |
|
21 N Broad St Ste E # 10104 Luray VA 22835-1162 | |
| (571) 449-7837 | |
| Not Available |
| Full Name | Look Inside Therapy, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 N Broad St Ste E # 10104, Luray, Virginia |
| Authorized Official Name and Position | Judith Patricia Watta (OWNER) |
| Authorized Official Contact | 5714497837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Look Inside Therapy, LLC Po Box 806054 Saint Clair Shores MI 48080-6054 Ph: (571) 449-7837 | Look Inside Therapy, LLC 21 N Broad St Ste E # 10104 Luray VA 22835-1162 Ph: (571) 449-7837 |
| NPI Number | 1760116297 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 9739563214 |
|---|---|
| Medicare Enrollment ID | O20220901000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760116297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Secondary |
| Provider Name | Judith Watta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356871305 PECOS PAC ID: 7911273073 Enrollment ID: I20171018001105 |
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