| Forkids,inc. | |
|
131 D View Ave Norfolk VA 23503-2901 | |
| (757) 622-6400 | |
| (757) 257-0212 |
| Full Name | Forkids,inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 131 D View Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Kate Hermanson (MANAGER OF CLINICAL SERVICES) |
| Authorized Official Contact | 7576226400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forkids,inc. 4200 Colley Ave Norfolk VA 23508-2508 Ph: (757) 622-6400 | Forkids,inc. 131 D View Ave Norfolk VA 23503-2901 Ph: (757) 622-6400 |
| NPI Number | 1790038602 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790038602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004678 (Virginia) | Primary |
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