| Miranda Communications , Inc | |
|
2940 N Lynnhaven Rd Suite 130 Virginia Beach VA 23452-6949 | |
| (917) 378-0253 | |
| Not Available |
| Full Name | Miranda Communications , Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2940 N Lynnhaven Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Edith B. Bealujon (DIRECTOR) |
| Authorized Official Contact | 9173780253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Communications , Inc 5205 Ordsall Pl Virginia Beach VA 23455-6884 Ph: (917) 378-0253 | Miranda Communications , Inc 2940 N Lynnhaven Rd Suite 130 Virginia Beach VA 23452-6949 Ph: (917) 378-0253 |
| NPI Number | 1528456183 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 4385960673 |
|---|---|
| Medicare Enrollment ID | O20150304000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528456183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Edith C Beaujon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689942161 PECOS PAC ID: 9537485826 Enrollment ID: I20150311002431 |
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