| Artemis Therapeutic Center Llc | |
|
1425 Battlefield Blvd N Ste 2182 Chesapeake VA 23320-9998 | |
| (757) 453-3215 | |
| Not Available |
| Full Name | Artemis Therapeutic Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 Battlefield Blvd N Ste 2182, Chesapeake, Virginia |
| Authorized Official Name and Position | Neda Santa Lopez (CLINICIAN/ FOUNDER) |
| Authorized Official Contact | 7574533215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Artemis Therapeutic Center Llc 1425 Battlefield Blvd N Ste 2182 Chesapeake VA 23320-9998 Ph: (757) 524-0797 | Artemis Therapeutic Center Llc 1425 Battlefield Blvd N Ste 2182 Chesapeake VA 23320-9998 Ph: (757) 453-3215 |
| NPI Number | 1922613942 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 11/30/2020 |
| Certification Date | 11/30/2020 |
| Medicare PECOS PAC ID | 9032522750 |
|---|---|
| Medicare Enrollment ID | O20210119001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922613942 | NPI | - | NPPES |
| 1306800198 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Neda S Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578724332 PECOS PAC ID: 6305000936 Enrollment ID: I20120612000391 |
| Provider Name | Angela F Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801408927 PECOS PAC ID: 4385057017 Enrollment ID: I20240206001764 |
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