Comprehensive Life Solutions | |
138 S Rosemont Rd Ste 209 Virginia Beach VA 23452-4366 | |
(757) 410-2566 | |
(888) 374-6910 |
Full Name | Comprehensive Life Solutions |
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Speciality | Clinic/Center |
Location | 138 S Rosemont Rd Ste 209, Virginia Beach, Virginia |
Authorized Official Name and Position | Tiffany Sinceno (CEO) |
Authorized Official Contact | 7574102566 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Life Solutions Po Box 2904 Chesapeake VA 23327-2904 Ph: (757) 410-2566 | Comprehensive Life Solutions 138 S Rosemont Rd Ste 209 Virginia Beach VA 23452-4366 Ph: (757) 410-2566 |
NPI Number | 1417442856 |
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Provider Enumeration Date | 06/27/2018 |
Last Update Date | 05/19/2022 |
Certification Date | 05/13/2022 |
Medicare PECOS PAC ID | 7214324102 |
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Medicare Enrollment ID | O20220422002305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417442856 | NPI | - | NPPES |
1326205840 | Medicaid | VA |
Provider Name | Tiffany Sinceno |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326205840 PECOS PAC ID: 7810119435 Enrollment ID: I20150220000592 |
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