| Experience Restoration | |
|
2509 Kennon Ave Norfolk VA 23513-4318 | |
| (757) 805-4813 | |
| Not Available |
| Full Name | Experience Restoration |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2509 Kennon Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Sherrie Patrice Watson (LMHP-R) |
| Authorized Official Contact | 7578054813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Restoration 2509 Kennon Ave Norfolk VA 23513-4318 Ph: (757) 805-4813 | Experience Restoration 2509 Kennon Ave Norfolk VA 23513-4318 Ph: (757) 805-4813 |
| NPI Number | 1225889249 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225889249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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