| Looseleaf Clinical Consulting | |
|
685 Turnberry Blvd #14774 Newport News VA 23608-0290 | |
| (757) 240-9497 | |
| Not Available |
| Full Name | Looseleaf Clinical Consulting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 685 Turnberry Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Letitia Laurien (CEO) |
| Authorized Official Contact | 7575034471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Looseleaf Clinical Consulting 685 Turnberry Blvd #14774 Newport News VA 23608-0290 Ph: (757) 240-9497 | Looseleaf Clinical Consulting 685 Turnberry Blvd #14774 Newport News VA 23608-0290 Ph: (757) 240-9497 |
| NPI Number | 1881136059 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881136059 | NPI | - | NPPES |
| 1013158963 | Other | NPI | |
| 5573 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904007077 (Virginia) | Primary |
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