| Lantz Psychological And Wellness | |
|
4445 Corporation Ln Ste 200 Virginia Beach VA 23462-3262 | |
| (757) 213-6961 | |
| (757) 687-0702 |
| Full Name | Lantz Psychological And Wellness |
|---|---|
| Speciality | Counselor |
| Location | 4445 Corporation Ln Ste 200, Virginia Beach, Virginia |
| Authorized Official Name and Position | Sharon Pilati Lantz (PRESIDENT/ LPC) |
| Authorized Official Contact | 7572136961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantz Psychological And Wellness 4445 Corporation Ln Ste 200 Virginia Beach VA 23462-3262 Ph: (757) 213-6961 | Lantz Psychological And Wellness 4445 Corporation Ln Ste 200 Virginia Beach VA 23462-3262 Ph: (757) 213-6961 |
| NPI Number | 1740042043 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 6406398973 |
|---|---|
| Medicare Enrollment ID | O20240612001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740042043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sharon Pilati Lantz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669585204 PECOS PAC ID: 7214479781 Enrollment ID: I20240612002828 |
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