| Balm Of Gilead Counseling Services | |
|
111 Mill Creek Pkwy Chesapeake VA 23323-1098 | |
| (434) 632-8041 | |
| Not Available |
| Full Name | Balm Of Gilead Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 111 Mill Creek Pkwy, Chesapeake, Virginia |
| Authorized Official Name and Position | Oladayo O Oluwalola (OWNER) |
| Authorized Official Contact | 4346328041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balm Of Gilead Counseling Services 2064 Burson Dr Chesapeake VA 23323-5304 Ph: (434) 632-8041 | Balm Of Gilead Counseling Services 111 Mill Creek Pkwy Chesapeake VA 23323-1098 Ph: (434) 632-8041 |
| NPI Number | 1548983224 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 2668841685 |
|---|---|
| Medicare Enrollment ID | O20221214002752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548983224 | NPI | - | NPPES |
| 1770240228 | Other | VA | CIGNA |
| 1770240228 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Oladayo O Oluwalola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770240228 PECOS PAC ID: 1658740675 Enrollment ID: I20221214002845 |
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