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Contact Information

4 RIVERS COUNSELING LLC
300 FRANKLIN ST STE 236
MARTINSVILLE, VA24112-2162
 Phone: 276-226-0307
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 4 RIVERS COUNSELING LLC

NPI Number 1699404012
LBN Legal business name 4 RIVERS COUNSELING LLC
Authorized official JENNIFER YATES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2022
Last updated 08/09/2023 - About 3 years ago
Identifiers
VA Medicaid 30017460770001
VA Other N121 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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