MEDICARE: COMMUNITY COUNSELING & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1205779386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY COUNSELING & WELLNESS LLC

Provider Business Mailing Address
First Line	:	2654 VALLEY AVE STE G
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2661
Country	:	US
Telephone Number	:	540-227-4948
Fax Number	:

Provider Business Practice Location Address
First Line	:	2654 VALLEY AVE STE G
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2661
Country	:	US
Telephone Number	:	540-227-4948
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	MEGAN SLAUGHTER
Credential	:
Telephone Number	:	540-227-4948

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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