| Redemption Services, Llc. | |
| 304 S Heber St Beckley WV 25801-5423 | |
| (681) 238-6412 | |
| Not Available | 
| Full Name | Redemption Services, Llc. | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 304 S Heber St, Beckley, West Virginia | 
| Authorized Official Name and Position | Bradford Wayne Phillips (EXECUTIVE MANAGEMENT) | 
| Authorized Official Contact | 6812386412 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Redemption Services, Llc. 304 S Heber St Beckley WV 25801-5423 Ph: (681) 238-6412 | Redemption Services, Llc. 304 S Heber St Beckley WV 25801-5423 Ph: (681) 238-6412 | 
| NPI Number | 1770047060 | 
|---|---|
| Provider Enumeration Date | 01/30/2019 | 
| Last Update Date | 07/24/2024 | 
| Certification Date | 07/24/2024 | 
| Medicare PECOS PAC ID | 5991175879 | 
|---|---|
| Medicare Enrollment ID | O20230111000393 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770047060 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Provider Name | Carla M White Phillips | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1033694989 PECOS PAC ID: 2163892043 Enrollment ID: I20230119001471 | 
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