| Appendix Inc | |
|
999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 | |
| (757) 664-9402 | |
| Not Available |
| Full Name | Appendix Inc |
|---|---|
| Speciality | Counselor |
| Location | 999 Waterside Dr Ste 2525, Norfolk, Virginia |
| Authorized Official Name and Position | Berthina Mcgill (OWNER) |
| Authorized Official Contact | 7579859688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appendix Inc 5136 E Princess Anne Rd Norfolk VA 23502-1749 Ph: (757) 664-9402 | Appendix Inc 999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 Ph: (757) 664-9402 |
| NPI Number | 1043817760 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Medicare PECOS PAC ID | 7315390812 |
|---|---|
| Medicare Enrollment ID | O20240131004460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043817760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Berthina Lekay Mcgill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679849277 PECOS PAC ID: 7911350418 Enrollment ID: I20240131004660 |
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