| Deep Connections Counseling Llc | |
|
129 W Virginia Beach Blvd Norfolk VA 23510-2030 | |
| (757) 319-5416 | |
| Not Available |
| Full Name | Deep Connections Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 129 W Virginia Beach Blvd, Norfolk, Virginia |
| Authorized Official Name and Position | Kinga Gudor (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7573195410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Connections Counseling Llc 1146 Rockbridge Ave Norfolk VA 23508-1418 Ph: (757) 319-5416 | Deep Connections Counseling Llc 129 W Virginia Beach Blvd Norfolk VA 23510-2030 Ph: (757) 319-5416 |
| NPI Number | 1699244996 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 4082957295 |
|---|---|
| Medicare Enrollment ID | O20190509002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699244996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gail P Bieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518014505 PECOS PAC ID: 3072739846 Enrollment ID: I20140731000932 |
| Provider Name | Kinga Gudor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508187881 PECOS PAC ID: 8123204666 Enrollment ID: I20170828000306 |
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