| 108 Counseling, Llc | |
|
8710 Choctaw Rd Ste 6a North Chesterfield VA 23235-3472 | |
| (646) 256-5103 | |
| Not Available |
| Full Name | 108 Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8710 Choctaw Rd Ste 6a, North Chesterfield, Virginia |
| Authorized Official Name and Position | Stephanie Mcnamara (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8042212042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 108 Counseling, Llc 8710 Choctaw Rd Ste 6a North Chesterfield VA 23235-3472 Ph: (646) 256-5103 | 108 Counseling, Llc 8710 Choctaw Rd Ste 6a North Chesterfield VA 23235-3472 Ph: (646) 256-5103 |
| NPI Number | 1053874370 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 04/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053874370 | NPI | - | NPPES |
| 1366985228 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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