| Therapeutic In Home Counseling | |
|
1949 Vesonder Rd Petersburg VA 23805-2933 | |
| (804) 640-2101 | |
| (877) 879-6336 |
| Full Name | Therapeutic In Home Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1949 Vesonder Rd, Petersburg, Virginia |
| Authorized Official Name and Position | Lisa Smith (HOUSE SUPERVISOR) |
| Authorized Official Contact | 8046402101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic In Home Counseling 1949 Vesonder Rd Petersburg VA 23805-2933 Ph: (804) 722-1185 | Therapeutic In Home Counseling 1949 Vesonder Rd Petersburg VA 23805-2933 Ph: (804) 640-2101 |
| NPI Number | 1063669414 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063669414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1261 (Virginia) | Primary |
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