| Karen Woodhouse, Llc | |
|
919 W 21st St Ste B Norfolk VA 23517-1559 | |
| (757) 622-6794 | |
| Not Available |
| Full Name | Karen Woodhouse, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 919 W 21st St Ste B, Norfolk, Virginia |
| Authorized Official Name and Position | Karen Anne Woodhouse (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7575444427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Woodhouse, Llc 100 Willow Wood Dr Apt A5 Norfolk VA 23505-4830 Ph: (757) 544-4427 | Karen Woodhouse, Llc 919 W 21st St Ste B Norfolk VA 23517-1559 Ph: (757) 622-6794 |
| NPI Number | 1629588769 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Medicare PECOS PAC ID | 7810255411 |
|---|---|
| Medicare Enrollment ID | O20180102001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629588769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0904006013 (Virginia) | Primary |
| Provider Name | Karen A Woodhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346637873 PECOS PAC ID: 8224340161 Enrollment ID: I20150706002286 |
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