| Associated Counselors Of Tidewater | |
|
287 Independence Blvd Ste 219 Virginia Beach VA 23462-2956 | |
| (757) 490-6960 | |
| (757) 490-6995 |
| Full Name | Associated Counselors Of Tidewater |
|---|---|
| Speciality | Counselor |
| Location | 287 Independence Blvd Ste 219, Virginia Beach, Virginia |
| Authorized Official Name and Position | Christianne Harmon (OFFICE MANAGER) |
| Authorized Official Contact | 7574906960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Counselors Of Tidewater 287 Independence Blvd Ste 219 Virginia Beach VA 23462-2956 Ph: (757) 490-6960 | Associated Counselors Of Tidewater 287 Independence Blvd Ste 219 Virginia Beach VA 23462-2956 Ph: (757) 490-6960 |
| NPI Number | 1528087616 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/23/2014 |
| Medicare PECOS PAC ID | 5597789362 |
|---|---|
| Medicare Enrollment ID | O20060119000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528087616 | NPI | - | NPPES |
| Provider Name | Lance W Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275788101 PECOS PAC ID: 5890851182 Enrollment ID: I20090312000163 |
| Provider Name | Ameka Lee-graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316275548 PECOS PAC ID: 7911299938 Enrollment ID: I20160713000041 |
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