| Happy Place Therapeutic Services, Llc | |
|
1602 Todds Ln Hampton VA 23666-3149 | |
| (757) 750-5556 | |
| Not Available |
| Full Name | Happy Place Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1602 Todds Ln, Hampton, Virginia |
| Authorized Official Name and Position | Latesha Hooker Adkins (LCSW - THERAPIST) |
| Authorized Official Contact | 7577505556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Place Therapeutic Services, Llc 1602 Todds Ln Hampton VA 23666-3149 Ph: (757) 750-5556 | Happy Place Therapeutic Services, Llc 1602 Todds Ln Hampton VA 23666-3149 Ph: (757) 750-5556 |
| NPI Number | 1205401197 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Medicare PECOS PAC ID | 3072906924 |
|---|---|
| Medicare Enrollment ID | O20220217000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205401197 | NPI | - | NPPES |
| 1912461542 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Latesha H Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912461542 PECOS PAC ID: 7719210186 Enrollment ID: I20190618001193 |
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