| Boss Inner Child Counseling, Llc | |
|
14203 Old Courthouse Way Suite B Newport News VA 23602 | |
| (757) 893-0321 | |
| Not Available |
| Full Name | Boss Inner Child Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14203 Old Courthouse Way, Newport News, Virginia |
| Authorized Official Name and Position | Ingrid Marie Bornia (OWNER AND CEO) |
| Authorized Official Contact | 7578930321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boss Inner Child Counseling, Llc 110 Coliseum Crossing #138 Hampton VA 23666-5962 Ph: (757) 893-0321 | Boss Inner Child Counseling, Llc 14203 Old Courthouse Way Suite B Newport News VA 23602 Ph: (757) 893-0321 |
| NPI Number | 1962069526 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2019 |
| Medicare PECOS PAC ID | 9739419078 |
|---|---|
| Medicare Enrollment ID | O20190930000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962069526 | NPI | - | NPPES |
| Provider Name | Ingrid M Bornia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427328384 PECOS PAC ID: 2264657592 Enrollment ID: I20140630002050 |
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