Connect The Dots Pc | |
6477 College Park Sq The Atrium Suite 216 Virginia Beach VA 23464-3611 | |
(757) 962-9503 | |
(757) 962-2700 |
Full Name | Connect The Dots Pc |
---|---|
Speciality | Counselor |
Location | 6477 College Park Sq, Virginia Beach, Virginia |
Authorized Official Name and Position | June Wren (OWNER) |
Authorized Official Contact | 7579629503 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Connect The Dots Pc 6477 College Park Sq The Atrium Suite 216 Virginia Beach VA 23464-3611 Ph: (757) 962-9503 | Connect The Dots Pc 6477 College Park Sq The Atrium Suite 216 Virginia Beach VA 23464-3611 Ph: (757) 962-9503 |
NPI Number | 1962860403 |
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Provider Enumeration Date | 01/28/2016 |
Last Update Date | 01/28/2016 |
Medicare PECOS PAC ID | 8921361395 |
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Medicare Enrollment ID | O20180417002135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962860403 | NPI | - | NPPES |
1679689657 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701002991 (Virginia) | Primary |
Provider Name | Thomas J Scott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972565869 PECOS PAC ID: 3870562069 Enrollment ID: I20040924000646 |
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