Shenandoah Professional Counseling, Llc | |
133 W Boscawen St Suite 11 Winchester VA 22601-4190 | |
(540) 662-3455 | |
(540) 662-3455 |
Full Name | Shenandoah Professional Counseling, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 133 W Boscawen St, Winchester, Virginia |
Authorized Official Name and Position | Susan J Smoot (SOLO PRACTIONER) |
Authorized Official Contact | 5406623455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shenandoah Professional Counseling, Llc 133 W Boscawen St Suite 11 Winchester VA 22601-4190 Ph: (540) 662-3455 | Shenandoah Professional Counseling, Llc 133 W Boscawen St Suite 11 Winchester VA 22601-4190 Ph: (540) 662-3455 |
NPI Number | 1154398436 |
---|---|
Provider Enumeration Date | 03/04/2006 |
Last Update Date | 07/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154398436 | NPI | - | NPPES |
010223393 | Medicaid | VA | |
O86004M | Other | VA | SENTARA/FAMIS/EAP |
086004M | Other | VA | OPTIMA/COMMUNITY HEALTH |
010234549 | Medicaid | VA | |
184671 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701003862 (Virginia) | Primary |
News Archive
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