Ollivier Community Circle | |
1020 Leckie St Portsmouth VA 23704-1904 | |
(703) 387-6025 | |
Not Available |
Full Name | Ollivier Community Circle |
---|---|
Speciality | Community/behavioral Health |
Location | 1020 Leckie St, Portsmouth, Virginia |
Authorized Official Name and Position | Shakirra Pinnock (CEO/FOUNDER) |
Authorized Official Contact | 7033876025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ollivier Community Circle 1020 Leckie St Portsmouth VA 23704-1904 Ph: (703) 387-6025 | Ollivier Community Circle 1020 Leckie St Portsmouth VA 23704-1904 Ph: (703) 387-6025 |
NPI Number | 1902683824 |
---|---|
Provider Enumeration Date | 09/13/2023 |
Last Update Date | 09/13/2023 |
Certification Date | 09/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902683824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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