| Integrity Counseling Collective, Pllc | |
|
4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 | |
| (757) 895-7953 | |
| (757) 209-4910 |
| Full Name | Integrity Counseling Collective, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4410 Claiborne Sq E Ste 334, Hampton, Virginia |
| Authorized Official Name and Position | Elissa Lea Jarvis (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7578957953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Counseling Collective, Pllc 4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 Ph: (757) 895-7953 | Integrity Counseling Collective, Pllc 4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 Ph: (757) 895-7953 |
| NPI Number | 1285496539 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 1658712930 |
|---|---|
| Medicare Enrollment ID | O20240517000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285496539 | NPI | - | NPPES |
| Provider Name | Elissa Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780158931 PECOS PAC ID: 8527409804 Enrollment ID: I20240517001207 |
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