| Mermaid Counseling And Consulting Llc | |
|
253 W Bute St Norfolk VA 23510-1403 | |
| (757) 715-2083 | |
| Not Available |
| Full Name | Mermaid Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 253 W Bute St, Norfolk, Virginia |
| Authorized Official Name and Position | Krystin Rizzo (OWNER) |
| Authorized Official Contact | 7577152083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mermaid Counseling And Consulting Llc 1718 Lafayette Blvd Norfolk VA 23509-1116 Ph: (757) 715-2083 | Mermaid Counseling And Consulting Llc 253 W Bute St Norfolk VA 23510-1403 Ph: (757) 715-2083 |
| NPI Number | 1114694098 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Medicare PECOS PAC ID | 0749646271 |
|---|---|
| Medicare Enrollment ID | O20230525000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114694098 | NPI | - | NPPES |
| Provider Name | Madeline Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922707033 PECOS PAC ID: 1355707886 Enrollment ID: I20230525000938 |
| Provider Name | Anna Czack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609635325 PECOS PAC ID: 0840631750 Enrollment ID: I20240509001660 |
| Provider Name | Olivia Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396511317 PECOS PAC ID: 5597106419 Enrollment ID: I20240509002310 |
| Provider Name | Chrystal Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013697432 PECOS PAC ID: 0941742175 Enrollment ID: I20240604000437 |
| Provider Name | Sheila Baez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750004180 PECOS PAC ID: 2961944871 Enrollment ID: I20240606003795 |
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