Mrs Gwendolyn Rose Mbuvi, LMFT | |
15 Research Dr Ste A, Hampton, VA 23666-1324 | |
(757) 315-8039 | |
Not Available |
Full Name | Mrs Gwendolyn Rose Mbuvi |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 15 Research Dr Ste A, 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 |
---|---|---|---|
1174131452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 0717001725 (Virginia) | Primary |
Entity Name | Bird On A Wire Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760065858 PECOS PAC ID: 3274978135 Enrollment ID: O20240301000113 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gwendolyn Rose Mbuvi, LMFT 5007c Victory Blvd # 330, Yorktown, VA 23693-5601 Ph: () - | Mrs Gwendolyn Rose Mbuvi, LMFT 15 Research Dr Ste A, Hampton, VA 23666-1324 Ph: (757) 315-8039 |
Jennifer Dattilo Watts, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2206 Executive Dr Ste A, Hampton, VA 23666 Phone: 757-597-8350 | |
Kirsten Burt, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2202 Executive Dr Ste C, Hampton, VA 23666 Phone: 757-827-7707 Fax: 757-838-2573 | |
Shelby Debause, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2202 Executive Dr, Suite C, Hampton, VA 23666 Phone: 757-827-7707 Fax: 757-838-2573 |