| Ralsten Consulting & Family Services, Llc | |
|
10549 Greglynn Rd North Chesterfield VA 23236-1702 | |
| (804) 362-7636 | |
| Not Available |
| Full Name | Ralsten Consulting & Family Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10549 Greglynn Rd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Jennifer V Ralsten (OWNER) |
| Authorized Official Contact | 8043627636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralsten Consulting & Family Services, Llc 10549 Greglynn Rd North Chesterfield VA 23236-1702 Ph: (571) 643-4586 | Ralsten Consulting & Family Services, Llc 10549 Greglynn Rd North Chesterfield VA 23236-1702 Ph: (804) 362-7636 |
| NPI Number | 1760119457 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 0941669436 |
|---|---|
| Medicare Enrollment ID | O20230630001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760119457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer V Ralsten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699123745 PECOS PAC ID: 6901194919 Enrollment ID: I20161006001729 |
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