| Love & Care Psychiatrist Services Llc | |
|
850 Statler Blvd. Ste 120 #1031 Staunton VA 24401 | |
| (240) 203-4457 | |
| Not Available |
| Full Name | Love & Care Psychiatrist Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 Statler Blvd. Ste 120 #1031, Staunton, Virginia |
| Authorized Official Name and Position | Adeline Takoh Ngum Mangwa (CEO) |
| Authorized Official Contact | 9179798759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love & Care Psychiatrist Services Llc 23 Locust Hill Ln Fishersville VA 22939-2247 Ph: (240) 898-7692 | Love & Care Psychiatrist Services Llc 850 Statler Blvd. Ste 120 #1031 Staunton VA 24401 Ph: (240) 203-4457 |
| NPI Number | 1649099359 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Medicare PECOS PAC ID | 7618497538 |
|---|---|
| Medicare Enrollment ID | O20250224000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649099359 | NPI | - | NPPES |
| Provider Name | Adeline Mangwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497015283 PECOS PAC ID: 9234679770 Enrollment ID: I20240911000198 |
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