| Afi Outpatient Mental Health Services, Inc. | |
|
3217 Commander Shepard Blvd. Hampton VA 23666-1598 | |
| (757) 315-8039 | |
| (757) 224-2055 |
| Full Name | Afi Outpatient Mental Health Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3217 Commander Shepard Blvd., Hampton, Virginia |
| Authorized Official Name and Position | Sherie Regina Sims Mawusi (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7573158039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afi Outpatient Mental Health Services, Inc. 3217 Commander Shepard Blvd. Hampton VA 23666 Ph: (757) 315-8039 | Afi Outpatient Mental Health Services, Inc. 3217 Commander Shepard Blvd. Hampton VA 23666-1598 Ph: (757) 315-8039 |
| NPI Number | 1407212079 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Medicare PECOS PAC ID | 5991195265 |
|---|---|
| Medicare Enrollment ID | O20211130001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407212079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004904 (Virginia) | Primary |
| Provider Name | Sherie Sims Mawusi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669539037 PECOS PAC ID: 2062658990 Enrollment ID: I20130423000005 |
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