MEDICARE: ROBERT OSBORN, LCSW, 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1568160307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT OSBORN, LCSW, LLC

Provider Business Mailing Address
First Line	:	1421 BURNING TREE RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-6804
Country	:	US
Telephone Number	:	804-218-4382
Fax Number	:	804-486-5290

Provider Business Practice Location Address
First Line	:	1421 BURNING TREE RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-6804
Country	:	US
Telephone Number	:	804-218-4382
Fax Number	:	804-486-5290

Authorized Official
Title or Position	:	OWNER OF BALANCED BILLING SERVICES
Name	:	BRENNA M SELLERS
Credential	:	MEDICAL BILLER
Telephone Number	:	458-215-1239

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	08/23/2023

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