Shelby Debause, LMFT | |
2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | |
(757) 827-7707 | |
(757) 838-2573 |
Full Name | Shelby Debause |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2202 Executive Dr, 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 |
---|---|---|---|
1932145844 | NPI | - | NPPES |
PK100082781 | Other | AMERICAN PYCH SERVICES | |
O80718M | Other | VA | SENTARA HEALTH MANAGEMENT |
191690 | Other | VA | ANTHEM |
7050631 | Other | AETNA | |
239462 | Other | COMPSYCH | |
339586 | Other | MANAGED HEALTH NET/TRICARE | |
738916000 | Other | MAGELLAN | |
339586 | Other | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 717001078 (Virginia) | Primary |
Entity Name | Genesis Counseling Center, Pc |
---|---|
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 |
---|---|
Shelby Debause, LMFT 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 Ph: (757) 827-7707 | Shelby Debause, LMFT 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 Ph: (757) 827-7707 |
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 | |
Mrs. Gwendolyn Rose Mbuvi, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 15 Research Dr Ste A, Hampton, VA 23666 Phone: 757-315-8039 |