| Provider / Organization | NPI | Date Certified |
|---|---|---|
| IRENE MOLYNEUX TEMPLE | 1174664429 | 2024-11-08 |
Irene Molyneux Temple is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174664429. Registration indicates Irene Molyneux Temple is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Irene Molyneux Temple LCSW |
| Practice Office Address | 7864 RICHMOND TAPPAHANNOCK HWY AYLETT, VA US |
| Practice Office Telephone | 8045350145 |
| Practice Office Fax | 8047278580 |
| Mailing Address | 7864 RICHMOND TAPPAHANNOCK HWY AYLETT, VA 230093056 US |
| Business Telephone | 8045350145 |
| Business Fax | 8047278580 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 0904003725
VA |
| 2167235 | OTHER | VA | MAMSI |
| O81421 | OTHER | VA | OPTIMA |
| 466168 | OTHER | VA | ANTHEM |
| 3001529971 | MEDICAID | VA | |
| 4945131 | OTHER | VA | VIRGINIA PREMIE |
| 588121-000 | OTHER | VA | MAGELLAN |