| Easy Care Mental Health | |
|
5402 Glenside Dr Ste D Richmond VA 23228-3994 | |
| (804) 601-6206 | |
| Not Available |
| Full Name | Easy Care Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5402 Glenside Dr Ste D, Richmond, Virginia |
| Authorized Official Name and Position | Nathacha Cerome (NURSE PRACTITIONER) |
| Authorized Official Contact | 8046016206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easy Care Mental Health 5402 Glenside Dr Ste D Richmond VA 23228-3994 Ph: () - | Easy Care Mental Health 5402 Glenside Dr Ste D Richmond VA 23228-3994 Ph: (804) 601-6206 |
| NPI Number | 1811692411 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 3375989460 |
|---|---|
| Medicare Enrollment ID | O20240312000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811692411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nathacha Cerome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376110726 PECOS PAC ID: 1052701398 Enrollment ID: I20220404002581 |
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