| Meridian Psychotherapy Services | |
|
4509 Whitechapel Dr Virginia Beach VA 23455-6447 | |
| (757) 460-4655 | |
| (757) 460-7744 |
| Full Name | Meridian Psychotherapy Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 4509 Whitechapel Dr, Virginia Beach, Virginia |
| Authorized Official Name and Position | Alyson Myers (PRACTICE MANAGER) |
| Authorized Official Contact | 7574604655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Psychotherapy Services 4509 Whitechapel Dr Virginia Beach VA 23455-6447 Ph: (757) 460-4655 | Meridian Psychotherapy Services 4509 Whitechapel Dr Virginia Beach VA 23455-6447 Ph: (757) 460-4655 |
| NPI Number | 1285304055 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Medicare PECOS PAC ID | 3173910551 |
|---|---|
| Medicare Enrollment ID | O20220504001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285304055 | NPI | - | NPPES |
| Provider Name | Saulo S Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922311463 PECOS PAC ID: 8921256884 Enrollment ID: I20120918000560 |
| Provider Name | Alicia N Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018760 PECOS PAC ID: 0143586867 Enrollment ID: I20171114001556 |
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