Holistic Care Counseling & Consulting | |
328 Office Square Ln Ste 103 Virginia Beach VA 23462-3648 | |
(757) 452-4946 | |
(757) 470-5910 |
Full Name | Holistic Care Counseling & Consulting |
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Speciality | Clinic/Center |
Location | 328 Office Square Ln Ste 103, Virginia Beach, Virginia |
Authorized Official Name and Position | Mellissa L. Miller (CEO/THERAPIST) |
Authorized Official Contact | 7574524946 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holistic Care Counseling & Consulting 1439 Vance Cir Chesapeake VA 23320-3267 Ph: (757) 729-2640 | Holistic Care Counseling & Consulting 328 Office Square Ln Ste 103 Virginia Beach VA 23462-3648 Ph: (757) 452-4946 |
NPI Number | 1316445463 |
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Provider Enumeration Date | 01/23/2018 |
Last Update Date | 02/04/2024 |
Certification Date | 02/04/2024 |
Medicare PECOS PAC ID | 8022454586 |
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Medicare Enrollment ID | O20240307000991 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316445463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0701007277 (Virginia) | Primary |
Provider Name | Mellissa L Miller |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780193938 PECOS PAC ID: 0941607840 Enrollment ID: I20240307001253 |
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