| Teresa Imani Billingsley Llc | |
|
101 Duncraig Dr Unit 107 Lynchburg VA 24502-5790 | |
| (434) 277-3236 | |
| Not Available |
| Full Name | Teresa Imani Billingsley Llc |
|---|---|
| Speciality | Counselor |
| Location | 101 Duncraig Dr Unit 107, Lynchburg, Virginia |
| Authorized Official Name and Position | Teresa Imani Billingsley (OWNER) |
| Authorized Official Contact | 4342773236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Imani Billingsley Llc 101 Duncraig Dr Unit 107 Lynchburg VA 24502-5790 Ph: () - | Teresa Imani Billingsley Llc 101 Duncraig Dr Unit 107 Lynchburg VA 24502-5790 Ph: (434) 277-3236 |
| NPI Number | 1225885015 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 9537607064 |
|---|---|
| Medicare Enrollment ID | O20240815002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225885015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Teresa Billingsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831200021 PECOS PAC ID: 7416495940 Enrollment ID: I20240815001905 |
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