Hope Psychotherapy Services, Llc | |
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 | |
(757) 304-1699 | |
Not Available |
Full Name | Hope Psychotherapy Services, Llc |
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Speciality | Clinic/Center |
Location | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, Virginia |
Authorized Official Name and Position | Nicole Georgina Gibbs (OWNER) |
Authorized Official Contact | 7573041699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Psychotherapy Services, Llc 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (757) 304-1699 | Hope Psychotherapy Services, Llc 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (757) 304-1699 |
NPI Number | 1275153140 |
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Provider Enumeration Date | 04/21/2020 |
Last Update Date | 04/21/2020 |
Certification Date | 04/21/2020 |
Medicare PECOS PAC ID | 8426474263 |
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Medicare Enrollment ID | O20200811003288 |
Identifier | Type | State | Issuer |
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1275153140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Nicole G Gibbs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821464405 PECOS PAC ID: 3870925506 Enrollment ID: I20191118001315 |
Provider Name | Keyonda Denea Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619029311 PECOS PAC ID: 4789067570 Enrollment ID: I20220811000482 |
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