George Cunningham Iv, LPC | |
2208 Executive Dr Ste C, Hampton, VA 23666-6603 | |
(757) 827-7707 | |
Not Available |
Full Name | George Cunningham Iv |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2208 Executive Dr Ste C, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609643345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701003036 (Virginia) | Primary |
Entity Name | Genesis Counseling Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164451399 PECOS PAC ID: 8729091715 Enrollment ID: O20060714000217 |
Mailing Address | Practice Location Address |
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George Cunningham Iv, LPC 2202 Executive Dr Ste C, Hampton, VA 23666-6604 Ph: (757) 827-7707 | George Cunningham Iv, LPC 2208 Executive Dr Ste C, Hampton, VA 23666-6603 Ph: (757) 827-7707 |
Ms. Rhyan L Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Corwin Cir, Hampton, VA 23666 Phone: 757-418-2226 | |
Meghan Stringer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 W Kelly Ave, Hampton, VA 23663 Phone: 313-443-7477 | |
Candice S Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Dr, Hampton, VA 23666 Phone: 757-788-0092 Fax: 757-788-0969 | |
Letitia N Laurien, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Executive Dr, Suite A, Hampton, VA 23666 Phone: 757-644-3989 Fax: 866-813-7798 | |
Anthony Joseph Reese, REGISTERED NURSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 W Queen St, Hampton, VA 23669 Phone: 757-374-8591 | |
Chasity Yvette Chambliss, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-772-9961 | |
Lena Baker-scott, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 15 Research Dr, Hampton, VA 23666 Phone: 757-570-5312 |