| Empowerment Counseling Center Llc | |
|
1015 Eden Way N Ste B Chesapeake VA 23320-2787 | |
| (757) 609-2726 | |
| (757) 609-2874 |
| Full Name | Empowerment Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1015 Eden Way N Ste B, Chesapeake, Virginia |
| Authorized Official Name and Position | Kashina Annette Simms (OWNER) |
| Authorized Official Contact | 7576092726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Counseling Center Llc 732 Eden Way N Ste E507 Chesapeake VA 23320-2798 Ph: (757) 609-2726 | Empowerment Counseling Center Llc 1015 Eden Way N Ste B Chesapeake VA 23320-2787 Ph: (757) 609-2726 |
| NPI Number | 1538503750 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 1557631652 |
|---|---|
| Medicare Enrollment ID | O20170724000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538503750 | NPI | - | NPPES |
| Provider Name | Kashina A Simms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730418872 PECOS PAC ID: 9638363120 Enrollment ID: I20101028000812 |
| Provider Name | Jennifer L Melillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629139878 PECOS PAC ID: 9638300254 Enrollment ID: I20140624001339 |
| Provider Name | Sonya S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164078127 PECOS PAC ID: 6709218647 Enrollment ID: I20191115000185 |
| Provider Name | Vanessa Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518518729 PECOS PAC ID: 3375966476 Enrollment ID: I20200708001569 |
| Provider Name | Jimmy W Spelts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423946 PECOS PAC ID: 9133510092 Enrollment ID: I20220103002007 |
| Provider Name | Jpy L Porter-blount |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164910600 PECOS PAC ID: 8022451202 Enrollment ID: I20240205001567 |
| Provider Name | Sarah Kough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366697112 PECOS PAC ID: 4789027988 Enrollment ID: I20240205002302 |
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