Pembroke Psychotherapy Llc | |
4605 Pembroke Lake Cir Ste 103c Virginia Beach VA 23455-6434 | |
(502) 693-3760 | |
(757) 904-0830 |
Full Name | Pembroke Psychotherapy Llc |
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Speciality | Counselor - Mental Health |
Location | 4605 Pembroke Lake Cir Ste 103c, Virginia Beach, Virginia |
Authorized Official Name and Position | Jan E Edwards (PSYCHOTHERAPIST, OWNER) |
Authorized Official Contact | 5026933760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pembroke Psychotherapy Llc 4605 Pembroke Lake Cir Ste 103c Virginia Beach VA 23455-6434 Ph: (502) 693-3760 | Pembroke Psychotherapy Llc 4605 Pembroke Lake Cir Ste 103c Virginia Beach VA 23455-6434 Ph: (502) 693-3760 |
NPI Number | 1871119321 |
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Provider Enumeration Date | 06/21/2020 |
Last Update Date | 06/21/2020 |
Certification Date | 06/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871119321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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