| Omni Psychotherapy | |
|
920 Ventures Way Ste 4 Chesapeake VA 23320-2883 | |
| (757) 752-5743 | |
| Not Available |
| Full Name | Omni Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 920 Ventures Way Ste 4, Chesapeake, Virginia |
| Authorized Official Name and Position | Sentoria Howell Harold (THERAPIST/OWNER) |
| Authorized Official Contact | 7577525743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Psychotherapy 920 Ventures Way Ste 4 Chesapeake VA 23320-2883 Ph: (757) 752-5743 | Omni Psychotherapy 920 Ventures Way Ste 4 Chesapeake VA 23320-2883 Ph: (757) 752-5743 |
| NPI Number | 1740774322 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 7113372426 |
|---|---|
| Medicare Enrollment ID | O20231006000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740774322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 090410468 (Virginia) | Primary |
| Provider Name | Sentoria H Harold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023507688 PECOS PAC ID: 0345611018 Enrollment ID: I20230118000223 |
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