| Lider Counseling, Llc | |
|
3509 Virginia Beach Blvd Virginia Beach VA 23452-4421 | |
| (804) 905-8067 | |
| (757) 538-7902 |
| Full Name | Lider Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3509 Virginia Beach Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Alfred Howard (OWNER/CLINICIAN) |
| Authorized Official Contact | 8049058067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lider Counseling, Llc 3509 Virginia Beach Blvd Virginia Beach VA 23452-4421 Ph: (804) 905-8067 | Lider Counseling, Llc 3509 Virginia Beach Blvd Virginia Beach VA 23452-4421 Ph: (804) 905-8067 |
| NPI Number | 1609289479 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 1153734033 |
|---|---|
| Medicare Enrollment ID | O20210114000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609289479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alfred John Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154698652 PECOS PAC ID: 9931438405 Enrollment ID: I20190909001961 |
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