Center For Personal Growth & Change | |
6350 Center Dr Suite 110 Norfolk VA 23502-4107 | |
(757) 227-3072 | |
(757) 227-3212 |
Full Name | Center For Personal Growth & Change |
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Speciality | Counselor |
Location | 6350 Center Dr, Norfolk, Virginia |
Authorized Official Name and Position | Kim Sloan (OFFICE MANAGER) |
Authorized Official Contact | 7572273072 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Personal Growth & Change 6350 Center Dr Suite 110 Norfolk VA 23502-4107 Ph: (757) 227-3072 | Center For Personal Growth & Change 6350 Center Dr Suite 110 Norfolk VA 23502-4107 Ph: (757) 227-3072 |
NPI Number | 1053450817 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4082715552 |
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Medicare Enrollment ID | O20070727000402 |
Identifier | Type | State | Issuer |
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1053450817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (Virginia) | Primary |
Provider Name | Mark G Wehrlin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558384800 PECOS PAC ID: 3072566132 Enrollment ID: I20050301000413 |
Provider Name | Eva F Sloan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053337634 PECOS PAC ID: 3577595602 Enrollment ID: I20050908001204 |
Provider Name | Carolyn R Nottingham |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518985084 PECOS PAC ID: 2264533736 Enrollment ID: I20070727000425 |
Provider Name | Hughlett O Powell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396863395 PECOS PAC ID: 0749347045 Enrollment ID: I20090331000220 |
Provider Name | Richard Cecil Berry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528384864 PECOS PAC ID: 9931385663 Enrollment ID: I20110513000711 |
Provider Name | Angela R Jones |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780827808 PECOS PAC ID: 1052557634 Enrollment ID: I20130426000554 |
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