| Life After The Storm Llc | |
|
314 Vista Point Dr Hampton VA 23666-5342 | |
| (757) 271-7136 | |
| (949) 561-4944 |
| Full Name | Life After The Storm Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 Vista Point Dr, Hampton, Virginia |
| Authorized Official Name and Position | Sonya Anthony (OWNER) |
| Authorized Official Contact | 7572717136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life After The Storm Llc 809 Aberdeen Rd Unit 9568 Hampton VA 23670-1219 Ph: (757) 271-7136 | Life After The Storm Llc 314 Vista Point Dr Hampton VA 23666-5342 Ph: (757) 271-7136 |
| NPI Number | 1679156483 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Medicare PECOS PAC ID | 1355746603 |
|---|---|
| Medicare Enrollment ID | O20210824003149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679156483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sonya Renee Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134723927 PECOS PAC ID: 9537577960 Enrollment ID: I20210422002593 |
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