| Inner-missions,pllc | |
|
317 Office Square Ln Ste B101 Virginia Beach VA 23462-3650 | |
| (757) 639-8336 | |
| Not Available |
| Full Name | Inner-missions,pllc |
|---|---|
| Speciality | Social Worker |
| Location | 317 Office Square Ln, Virginia Beach, Virginia |
| Authorized Official Name and Position | Richard Albert St. Pierre (OWNER/FOUNDER) |
| Authorized Official Contact | 7576398336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner-missions,pllc 317 Office Square Ln Ste B101 Virginia Beach VA 23462-3650 Ph: (757) 639-8336 | Inner-missions,pllc 317 Office Square Ln Ste B101 Virginia Beach VA 23462-3650 Ph: (757) 639-8336 |
| NPI Number | 1407207467 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Medicare PECOS PAC ID | 4284920133 |
|---|---|
| Medicare Enrollment ID | O20160901001868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407207467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005106 (Virginia) | Primary |
| Provider Name | Richard A St Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770773228 PECOS PAC ID: 5890889661 Enrollment ID: I20070924000774 |
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