| Psychotherapy Associates Of Virginia Llc | |
|
232 Woodland Dr Franklin VA 23851-2339 | |
| (757) 237-9377 | |
| (800) 721-9807 |
| Full Name | Psychotherapy Associates Of Virginia Llc |
|---|---|
| Speciality | Social Worker |
| Location | 232 Woodland Dr, Franklin, Virginia |
| Authorized Official Name and Position | Dorothy B Panissidi (OWNER) |
| Authorized Official Contact | 7572379377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates Of Virginia Llc 232 Woodland Dr Franklin VA 23851-2339 Ph: (757) 237-9377 | Psychotherapy Associates Of Virginia Llc 232 Woodland Dr Franklin VA 23851-2339 Ph: (757) 237-9377 |
| NPI Number | 1871219170 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 1153799283 |
|---|---|
| Medicare Enrollment ID | O20221122000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871219170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dorothy B Panissidi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790861367 PECOS PAC ID: 7315315447 Enrollment ID: I20221122000928 |
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