Organization
INTUITIVE JOURNEYS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE REDMOND LOPEZ LCSW (CEO)
(703) 862-5679
Entity
Organization
Contact information
Practice address
1802 AUGUSTINE AVE, FREDERICKSBURG, VA 22401-4606
(703) 862-5679
Mailing address
43 TOWN AND COUNTRY DR, 143, FREDERICKSBURG, VA 22405-8729
(703) 862-5679
(540) 310-4072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004604
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087841
SENTERA
—
01
—
212387
VA
—
01
—
303185
SOUTHEAST
—
01
—
307304 (IND 307305)
ANTHEM
—
01
—
3878
CAREFIRST BC
—
01
—
468354
VALUEOPTIONS
—
01
—
512389
NCPPO
—
01
—
7305414
AETNA
—
Enumeration date
10/22/2007
Last updated
06/21/2018
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