| Potomac Family Counseling, Llc | |
|
290 Haulover Cir Montross VA 22520-8809 | |
| (703) 606-2880 | |
| Not Available |
| Full Name | Potomac Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 290 Haulover Cir, Montross, Virginia |
| Authorized Official Name and Position | Lynette Kaye Jacob (CEO/OWNER) |
| Authorized Official Contact | 7036062880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Family Counseling, Llc 290 Haulover Cir Montross VA 22520-8809 Ph: (703) 606-2880 | Potomac Family Counseling, Llc 290 Haulover Cir Montross VA 22520-8809 Ph: (703) 606-2880 |
| NPI Number | 1528798360 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Medicare PECOS PAC ID | 7416330063 |
|---|---|
| Medicare Enrollment ID | O20220816000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528798360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lynette Kaye Jacob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093466476 PECOS PAC ID: 8325421977 Enrollment ID: I20220816000558 |
Carlita Coley & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Ships Row, Montross, VA 22520 Phone: 804-456-8959 |