| Janiya T Phillips Llc | |
|
283 Constitution Dr Ste 600 Virginia Beach VA 23462-6760 | |
| (757) 802-4619 | |
| Not Available |
| Full Name | Janiya T Phillips Llc |
|---|---|
| Speciality | Counselor |
| Location | 283 Constitution Dr Ste 600, Virginia Beach, Virginia |
| Authorized Official Name and Position | Janiya T Phillips (OWNER) |
| Authorized Official Contact | 7578024619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janiya T Phillips Llc 283 Constitution Dr Ste 600 Virginia Beach VA 23462-6760 Ph: (757) 802-4619 | Janiya T Phillips Llc 283 Constitution Dr Ste 600 Virginia Beach VA 23462-6760 Ph: (757) 802-4619 |
| NPI Number | 1578339891 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 8022461052 |
|---|---|
| Medicare Enrollment ID | O20240125004743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578339891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Janiya T Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922588391 PECOS PAC ID: 9931552965 Enrollment ID: I20240125004753 |
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