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NPI Code Detail

MEDICARE: COMMON SENSE HEALING LLC

MEDICARE: COMMON SENSE HEALING 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
1163W00000XRegistered Nurse
2171400000XHealth & Wellness Coach
3174H00000XHealth Educator
4225700000XMassage Therapist
5251S00000XCommunity/Behavioral Health Agency
6261QH0100XHealth Service Clinic/Center
7261QM0850XAdult Mental Health Clinic/Center
8261QM0855XAdolescent and Children Mental Health Clinic/Center
9261QM1300XMulti-Specialty Clinic/Center
10261QP3300XPain Clinic/Center
11261QS1000XStudent Health Clinic/Center
12261QX0200XOncology Clinic/Center
13311500000XAlzheimer Center (Dementia Center)
14405300000XPrevention Professional
15171100000XAcupuncturist

General Provider Information

NPI Number : 1750051504
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMON SENSE HEALING LLC
Provider Business Mailing Address
First Line : 7500 BROMLEY LN
Second Line :
City : SPOTSYLVANIA
State : VA
Zip : 22551-2492
Country : US
Telephone Number : 917-443-0253
Fax Number :
Provider Business Practice Location Address
First Line : 904 PRINCESS ANN STREET
Second Line : SUITE 306
City : FREDERICKSBURG
State : VA
Zip : 22401-5801
Country : US
Telephone Number : 540-269-4911
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAWN SHARROCKS
Credential : RN, L.AC
Telephone Number : 917-443-0253
Provider Enumeration Date : 09/14/2021
Last Update Date : 09/14/2021

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