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NPI Code Detail

MEDICARE: ZOE THERAPY SERVICES, LLC

MEDICARE: ZOE THERAPY SERVICES, 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
11041C0700XClinical Social Worker
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0904002644VA
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1215352521
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZOE THERAPY SERVICES, LLC
Provider Business Mailing Address
First Line : 4191 INNSLAKE DR STE 211
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3324
Country : US
Telephone Number : 804-303-9622
Fax Number : 804-716-4318
Provider Business Practice Location Address
First Line : 4191 INNSLAKE DR STE 211
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3324
Country : US
Telephone Number : 804-303-9622
Fax Number : 804-716-4318
Authorized Official
Title or Position : MANAGER
Name : SHERI MARKEL
Credential :
Telephone Number : 804-303-9622
Provider Enumeration Date : 02/23/2014
Last Update Date : 08/27/2024

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