| Suzanne Souders Lcsw Pllc | |
|
25 Office Park Dr Ste 2 Kilmarnock VA 22482-2805 | |
| (804) 577-0186 | |
| Not Available |
| Full Name | Suzanne Souders Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Office Park Dr Ste 2, Kilmarnock, Virginia |
| Authorized Official Name and Position | M Suzanne Souders (OWNER) |
| Authorized Official Contact | 8045770186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Souders Lcsw Pllc Po Box 1663 Kilmarnock VA 22482-1663 Ph: () - | Suzanne Souders Lcsw Pllc 25 Office Park Dr Ste 2 Kilmarnock VA 22482-2805 Ph: (804) 577-0186 |
| NPI Number | 1164073813 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Medicare PECOS PAC ID | 3779815444 |
|---|---|
| Medicare Enrollment ID | O20191030000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164073813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mary S Souders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487824603 PECOS PAC ID: 4587984190 Enrollment ID: I20150521002740 |
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