| Consulting & Community Resources Llc | |
|
1535 Mt Vernon Ave Portsmouth VA 23707-3511 | |
| (757) 409-2851 | |
| Not Available |
| Full Name | Consulting & Community Resources Llc |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 1535 Mt Vernon Ave, Portsmouth, Virginia |
| Authorized Official Name and Position | Kathy L Johnson (QDIP/ OWNER) |
| Authorized Official Contact | 7574092851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consulting & Community Resources Llc 1535 Mt Vernon Ave Portsmouth VA 23707-3511 Ph: (757) 409-2851 | Consulting & Community Resources Llc 1535 Mt Vernon Ave Portsmouth VA 23707-3511 Ph: (757) 409-2851 |
| NPI Number | 1255005575 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 09/06/2023 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255005575 | NPI | - | NPPES |
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