| Mary's Manger | |
|
2401 Crepe Myrtle Ln Chesapeake VA 23325-4644 | |
| (757) 735-4565 | |
| Not Available |
| Full Name | Mary's Manger |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2401 Crepe Myrtle Ln, Chesapeake, Virginia |
| Authorized Official Name and Position | Kimberly M Haywood (OWNER) |
| Authorized Official Contact | 7577354565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary's Manger 2401 Crepe Myrtle Ln Chesapeake VA 23325-4644 Ph: (757) 735-4565 | Mary's Manger 2401 Crepe Myrtle Ln Chesapeake VA 23325-4644 Ph: (757) 735-4565 |
| NPI Number | 1942634126 |
|---|---|
| Provider Enumeration Date | 08/24/2013 |
| Last Update Date | 08/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942634126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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