Inner Wisdom Yoga And Psychotherapy, PLLC

Psychologist, Clinical in Roanoke, VA. Organization (NPI-2).

NPI number1265055321

StatusActive

Last updated in NPPESMay 24, 2020

Details

NPI: 1265055321
Entity type: Organization (NPI-2)
Legal business name: Inner Wisdom Yoga And Psychotherapy, PLLC
Organization subpart: No
Enumeration date: May 24, 2020
Certification date: May 24, 2020
Last updated: May 24, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	–	–	Yes

Practice location

1420 3rd St Sw
Roanoke, VA 24016-5205

Phone 540-798-8478

Mailing address

2921 Oak Crest Ave Sw
Roanoke, VA 24015-4609

Phone 540-798-8478

Authorized official

Annemarie Carroll
Owner
5407988478

Is something wrong?

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