| Lftc Of Va, Pc-therapeutic Options | |
|
2019 Cunningham Dr Suite 218 Hampton VA 23666-3316 | |
| (757) 262-1461 | |
| Not Available |
| Full Name | Lftc Of Va, Pc-therapeutic Options |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2019 Cunningham Dr, Hampton, Virginia |
| Authorized Official Name and Position | Ronald Devin Beverly (PRESIDENT) |
| Authorized Official Contact | 7572621461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lftc Of Va, Pc-therapeutic Options Po Box 5122 Newport News VA 23605-0122 Ph: (757) 262-1461 | Lftc Of Va, Pc-therapeutic Options 2019 Cunningham Dr Suite 218 Hampton VA 23666-3316 Ph: (757) 262-1461 |
| NPI Number | 1407945363 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407945363 | NPI | - | NPPES |
| 336367 | Other | VA | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000158 (Virginia) | Primary |
| 101YP2500X | Counselor - Professional | 0701003321 (Virginia) | Primary |
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