| Gift Of Therapy And Consulting, Llc | |
|
317 Office Square Ln Ste B102 Virginia Beach VA 23462-3650 | |
| (757) 419-1871 | |
| (757) 419-1871 |
| Full Name | Gift Of Therapy And Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 317 Office Square Ln Ste B102, Virginia Beach, Virginia |
| Authorized Official Name and Position | Dorothy Moore (OWNER) |
| Authorized Official Contact | 7574191871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gift Of Therapy And Consulting, Llc 4240 Portsmouth Blvd Ste 425 Chesapeake VA 23321-2129 Ph: (757) 419-1871 | Gift Of Therapy And Consulting, Llc 317 Office Square Ln Ste B102 Virginia Beach VA 23462-3650 Ph: (757) 419-1871 |
| NPI Number | 1407365943 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 09/27/2017 |
| Medicare PECOS PAC ID | 2264873736 |
|---|---|
| Medicare Enrollment ID | O20240515001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407365943 | NPI | - | NPPES |
| 1700213766 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701005610 (Virginia) | Primary |
| Provider Name | Dorothy M Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700213766 PECOS PAC ID: 3173964640 Enrollment ID: I20240515003103 |
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