| Joseph Benjamin Atanacio, LPC, MAC, CSAC | |
|
5694 Craneybrook Ln Apt B, Portsmouth, VA 23703-1729 | |
| (757) 698-8822 | |
| Not Available |
| Full Name | Joseph Benjamin Atanacio |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 5694 Craneybrook Ln Apt B, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124687652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701008384 (Virginia) | Primary |
| Entity Name | Deep Connections Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699244996 PECOS PAC ID: 4082957295 Enrollment ID: O20190509002495 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Benjamin Atanacio, LPC, MAC, CSAC 5694 Craneybrook Ln Apt B, Portsmouth, VA 23703-1729 Ph: () - | Joseph Benjamin Atanacio, LPC, MAC, CSAC 5694 Craneybrook Ln Apt B, Portsmouth, VA 23703-1729 Ph: (757) 698-8822 |
Tiffany Renee Smith-lagerberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Roanoke Ave, Portsmouth, VA 23704 Phone: 757-575-4456 | |
Ms. Maxine Cecilia Green, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-393-7200 | |
Angela Callahan, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Washington St, Portsmouth, VA 23704 Phone: 757-372-7868 Fax: 757-419-5365 | |
Nicole Billingslea, QMHP-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 Washington St Apt 5, Portsmouth, VA 23704 Phone: 716-450-7770 | |
Karen L Mckinley, PSY D LCSW LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703 Phone: 757-483-6404 Fax: 757-483-0737 | |
Ms. Kawanna Evette Ward, LCSW, CSAC, CSOTP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-966-1889 | |
Meagan Elise Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Fort Ln, Portsmouth, VA 23704 Phone: 757-391-5909 |