| Alicia's Place | |
|
500 Mill Stone Rd Chesapeake VA 23322-4367 | |
| (301) 351-7257 | |
| (757) 389-5540 |
| Full Name | Alicia's Place |
|---|---|
| Speciality | Psychologist |
| Location | 500 Mill Stone Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Alicia Meyer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3013517257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia's Place 500 Mill Stone Rd Chesapeake VA 23322-4367 Ph: (301) 351-7257 | Alicia's Place 500 Mill Stone Rd Chesapeake VA 23322-4367 Ph: (301) 351-7257 |
| NPI Number | 1952870396 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952870396 | NPI | - | NPPES |
| 601103617 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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