C.a.r.e Llc | |
5215 Colley Ave Norfolk VA 23508-2166 | |
(757) 226-8126 | |
Not Available |
Full Name | C.a.r.e Llc |
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Speciality | Counselor |
Location | 5215 Colley Ave, Norfolk, Virginia |
Authorized Official Name and Position | Anthony Andre Hawkins (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7578133038 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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C.a.r.e Llc 5215 Colley Ave Norfolk VA 23508-2166 Ph: (757) 226-8126 | C.a.r.e Llc 5215 Colley Ave Norfolk VA 23508-2166 Ph: (757) 226-8126 |
NPI Number | 1689246118 |
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Provider Enumeration Date | 07/14/2021 |
Last Update Date | 07/22/2021 |
Certification Date | 07/22/2021 |
Medicare PECOS PAC ID | 0446648687 |
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Medicare Enrollment ID | O20211021000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689246118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jack S Grimes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467511295 PECOS PAC ID: 3678961810 Enrollment ID: I20211021000169 |
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