| Nicole Surething | |
|
1158 Professional Dr Ste N Williamsburg VA 23185-6618 | |
| (540) 693-0398 | |
| Not Available |
| Full Name | Nicole Surething |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1158 Professional Dr Ste N, Williamsburg, Virginia |
| Authorized Official Name and Position | Nicole Ann Surething (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5406930398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Surething 3997 Cedarwood Ln Williamsburg VA 23188-8007 Ph: (540) 693-0398 | Nicole Surething 1158 Professional Dr Ste N Williamsburg VA 23185-6618 Ph: (540) 693-0398 |
| NPI Number | 1306296819 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 4284925397 |
|---|---|
| Medicare Enrollment ID | O20160621001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306296819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0810004081 (Virginia) | Primary |
| Provider Name | Nicole A Surething |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902200389 PECOS PAC ID: 7810202116 Enrollment ID: I20150817000077 |
Adr Clinical Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1309 Jamestown Rd, Ste. 101, Williamsburg, VA 23185 Phone: 757-220-8800 Fax: 757-220-8811 | |
Beacon Counseling And Consulting Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Mclaws Circle, Suite 2, Williamsburg, VA 23011 Phone: 757-564-3100 Fax: 757-564-3500 | |
Institute For Psychological & Health Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5388 Discovery Park Blvd, Suite 110 A, Williamsburg, VA 23188 Phone: 757-903-5752 | |
The Pavilion At Williamsburg Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Mooretown Rd, Williamsburg, VA 23188 Phone: 757-941-6400 Fax: 757-941-6419 | |
Sapiente Wellness, Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5012 Gabriella Way, Williamsburg, VA 23188 Phone: 757-572-9447 | |
A Meaningful Place Behavioral Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Oslo Ct, Williamsburg, VA 23188 Phone: 757-434-3242 | |
Notice That - Therapy & Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1307 Jamestown Rd Ste 101, Williamsburg, VA 23185 Phone: 757-719-4581 |