| My Sister's Keeper Counseling Services, Llc | |
|
2000 Starling Drive #70158 Henrico VA 23229 | |
| (804) 404-9336 | |
| Not Available |
| Full Name | My Sister's Keeper Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2000 Starling Drive, Henrico, Virginia |
| Authorized Official Name and Position | Chanda Hannah (OWNER) |
| Authorized Official Contact | 8044049336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Sister's Keeper Counseling Services, Llc Po Box 70158 Henrico VA 23255-0158 Ph: (804) 404-9336 | My Sister's Keeper Counseling Services, Llc 2000 Starling Drive #70158 Henrico VA 23229 Ph: (804) 404-9336 |
| NPI Number | 1366141129 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 8628433158 |
|---|---|
| Medicare Enrollment ID | O20230504002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366141129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Chanda Hannah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124632161 PECOS PAC ID: 9537524061 Enrollment ID: I20230504002926 |
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