Healthcare Provider Details

I. General information

NPI: 1073989836
Provider Name (Legal Business Name): BARTEE'S CONSULTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 W JAMES ANDERSON HWY
GLADSTONE VA
24553-3518
US

IV. Provider business mailing address

6615 W JAMES ANDERSON HWY
GLADSTONE VA
24553-3518
US

V. Phone/Fax

Practice location:
  • Phone: 434-414-6253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number StateVA

VIII. Authorized Official

Name: MISS CHRISTINA BARTEE
Title or Position: SERVICE FACILITATOR
Credential:
Phone: 434-414-6253