| Level Ground Psychotherapy Services Llc | |
|
14203 Old Courthouse Way Ste C Newport News VA 23602-3749 | |
| (757) 522-7011 | |
| Not Available |
| Full Name | Level Ground Psychotherapy Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 14203 Old Courthouse Way Ste C, Newport News, Virginia |
| Authorized Official Name and Position | Cynthia Gale Murchison-grice (OWNER) |
| Authorized Official Contact | 7575227011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Level Ground Psychotherapy Services Llc 14203 Old Courthouse Way Ste C Newport News VA 23602-3749 Ph: () - | Level Ground Psychotherapy Services Llc 14203 Old Courthouse Way Ste C Newport News VA 23602-3749 Ph: (757) 522-7011 |
| NPI Number | 1699321927 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 4880137165 |
|---|---|
| Medicare Enrollment ID | O20240614000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699321927 | NPI | - | NPPES |
| 0701008249 | Other | VA | OWNER'S LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cynthia Gale Murchison-grice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194382333 PECOS PAC ID: 6608319983 Enrollment ID: I20240614000982 |
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