| Wellness Place, Llc | |
|
622 Main St Warsaw VA 22572-4280 | |
| (804) 238-0383 | |
| (866) 639-3167 |
| Full Name | Wellness Place, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 622 Main St, Warsaw, Virginia |
| Authorized Official Name and Position | Mary Hunter Sudduth (PRESIDENT) |
| Authorized Official Contact | 8042380383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Place, Llc 622 Main St Warsaw VA 22572-4280 Ph: (804) 238-0383 | Wellness Place, Llc 622 Main St Warsaw VA 22572-4280 Ph: (804) 238-0383 |
| NPI Number | 1851628911 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 7719018167 |
|---|---|
| Medicare Enrollment ID | O20100628001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851628911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006847 (Virginia) | Primary |
| Provider Name | Mary H Sudduth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295975902 PECOS PAC ID: 2769512771 Enrollment ID: I20100617000102 |
Potomac Family Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 199 Main St, Warsaw, VA 22572 Phone: 703-665-0311 | |
Georgia A. Hall Behavior Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Fallin Town Rd, Warsaw, VA 22572 Phone: 804-580-0783 |