| Charlottesville League Of Therapists, Inc | |
|
1046 Main Street Dillwyn VA 23936 | |
| (434) 984-0023 | |
| (434) 984-4852 |
| Full Name | Charlottesville League Of Therapists, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1046 Main Street, Dillwyn, Virginia |
| Authorized Official Name and Position | Victoria Gibson (REGIONAL HR ASSISTANT) |
| Authorized Official Contact | 4349840023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlottesville League Of Therapists, Inc 911 E Jefferson St Charlottesville VA 22902-5355 Ph: (434) 984-0023 | Charlottesville League Of Therapists, Inc 1046 Main Street Dillwyn VA 23936 Ph: (434) 984-0023 |
| NPI Number | 1093004871 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 04/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093004871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 411 (Virginia) | Primary |
South Central Counseling Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1046 Main Street, Dillwyn, VA 23936 Phone: 434-808-0604 Fax: 434-808-0716 |