| Multitherapeutic Services Llc | |
|
440 W Chickasaw Rd Virginia Beach VA 23462-6245 | |
| (757) 553-6749 | |
| Not Available |
| Full Name | Multitherapeutic Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 440 W Chickasaw Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Arlana Lee-holt (OWNER) |
| Authorized Official Contact | 7575536749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multitherapeutic Services Llc 440 W Chickasaw Rd Virginia Beach VA 23462-6245 Ph: (757) 553-6749 | Multitherapeutic Services Llc 440 W Chickasaw Rd Virginia Beach VA 23462-6245 Ph: (757) 553-6749 |
| NPI Number | 1811637465 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Medicare PECOS PAC ID | 6901292127 |
|---|---|
| Medicare Enrollment ID | O20220414001987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811637465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Arlana Lee-holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619633476 PECOS PAC ID: 7719373935 Enrollment ID: I20220414002132 |
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