Rocktown Counseling Llc | |
333 Windermere Dr Broadway VA 22815-9489 | |
(540) 236-8219 | |
Not Available |
Full Name | Rocktown Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 333 Windermere Dr, Broadway, Virginia |
Authorized Official Name and Position | Kadie King (CLINICAL DIRECTOR) |
Authorized Official Contact | 5402368219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rocktown Counseling Llc Po Box 1075 Broadway VA 22815-1075 Ph: (540) 236-8219 | Rocktown Counseling Llc 333 Windermere Dr Broadway VA 22815-9489 Ph: (540) 236-8219 |
NPI Number | 1154941789 |
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Provider Enumeration Date | 04/23/2020 |
Last Update Date | 04/23/2020 |
Certification Date | 04/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154941789 | NPI | - | NPPES |
1790118396 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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