| Liberating Lives: Christian Counseling & Psychol | |
|
420 N Center Dr Bldg 11, Suite 113 Norfolk VA 23502-4007 | |
| (757) 449-3671 | |
| Not Available |
| Full Name | Liberating Lives: Christian Counseling & Psychol |
|---|---|
| Speciality | Counselor |
| Location | 420 N Center Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Kevin J. Coward (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7574493671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberating Lives: Christian Counseling & Psychol 420 N Center Dr Bldg 11, Suite 113 Norfolk VA 23502-4007 Ph: (757) 449-3671 | Liberating Lives: Christian Counseling & Psychol 420 N Center Dr Bldg 11, Suite 113 Norfolk VA 23502-4007 Ph: (757) 449-3671 |
| NPI Number | 1629370515 |
|---|---|
| Provider Enumeration Date | 11/26/2010 |
| Last Update Date | 11/26/2010 |
| Medicare PECOS PAC ID | 8729388012 |
|---|---|
| Medicare Enrollment ID | O20151118000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629370515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 071003632 (Virginia) | Primary |
| Provider Name | Franklin D Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932291630 PECOS PAC ID: 9032367214 Enrollment ID: I20120912000817 |
| Provider Name | Lacy E Biddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194077917 PECOS PAC ID: 7012150840 Enrollment ID: I20130827000468 |
| Provider Name | Kari Lannon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013310713 PECOS PAC ID: 9537469853 Enrollment ID: I20151118001135 |
| Provider Name | Shannon Michelle Cutshall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457700379 PECOS PAC ID: 0042625444 Enrollment ID: I20210217001593 |
| Provider Name | Sayward Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275158792 PECOS PAC ID: 3577963545 Enrollment ID: I20210611002727 |
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