Mr Richard Frank Tavolacci, LMFT LPC | |
1417 Battlefield Blvd N Ste 115, Chesapeake, VA 23320-4516 | |
(757) 312-8002 | |
(757) 312-9299 |
Full Name | Mr Richard Frank Tavolacci |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1417 Battlefield Blvd N Ste 115, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861598120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0717001015 (Virginia) | Primary |
Entity Name | Brightstar Counseling Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619697596 PECOS PAC ID: 3274972773 Enrollment ID: O20240417000655 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Frank Tavolacci, LMFT LPC 513 Cassway Arch, Chesapeake, VA 23323-3820 Ph: (757) 558-2435 | Mr Richard Frank Tavolacci, LMFT LPC 1417 Battlefield Blvd N Ste 115, Chesapeake, VA 23320-4516 Ph: (757) 312-8002 |
Mrs. Mercedes Santos-bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4037 Taylor Rd Ste D, Chesapeake, VA 23321 Phone: 917-406-6763 | |
Ashley Marie Dyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2010 Old Greenbrier Rd Ste G, Chesapeake, VA 23320 Phone: 757-493-2912 Fax: 866-730-6583 | |
Katrina A Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Martin Ave, Chesapeake, VA 23324 Phone: 757-449-8278 | |
Mrs. Sharon Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Gammon Trl, Chesapeake, VA 23322 Phone: 757-284-9184 | |
Jessica Renee Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-694-4723 Fax: 757-301-8803 | |
Mrs. Andrea Rosalind Stephen, LPC IN RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3804 Poplar Hill Rd Ste D, Chesapeake, VA 23321 Phone: 757-210-9381 | |
Miss Hillary Simone Zaneveld, LPC CSAC Counselor Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, City Of Chesap Ta Chesapeake Comm Services Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 |