| Prepping For Perfection, Llc | |
|
3615 Victory Blvd Ste 105 Portsmouth VA 23701-3419 | |
| (757) 336-8356 | |
| (757) 257-3450 |
| Full Name | Prepping For Perfection, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3615 Victory Blvd Ste 105, Portsmouth, Virginia |
| Authorized Official Name and Position | Rhanada Vazquez (COO) |
| Authorized Official Contact | 7573368356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prepping For Perfection, Llc 3615 Victory Blvd Ste 105 Portsmouth VA 23701-3419 Ph: (757) 336-8356 | Prepping For Perfection, Llc 3615 Victory Blvd Ste 105 Portsmouth VA 23701-3419 Ph: (757) 336-8356 |
| NPI Number | 1134861040 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 1759721251 |
|---|---|
| Medicare Enrollment ID | O20240501001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134861040 | NPI | - | NPPES |
| Provider Name | Rhanada Vazquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144805631 PECOS PAC ID: 2668812165 Enrollment ID: I20240501002025 |
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