| Relaction Pllc | |
|
83 Queens Ct Newport News VA 23606-2000 | |
| (757) 598-1692 | |
| Not Available |
| Full Name | Relaction Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Queens Ct, Newport News, Virginia |
| Authorized Official Name and Position | Michelle Lange (OWNER) |
| Authorized Official Contact | 7575981692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relaction Pllc 83 Queens Ct Newport News VA 23606-2000 Ph: (757) 598-1692 | Relaction Pllc 83 Queens Ct Newport News VA 23606-2000 Ph: (757) 598-1692 |
| NPI Number | 1699488247 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 5496129199 |
|---|---|
| Medicare Enrollment ID | O20230321000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699488247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michelle P Lange |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699824425 PECOS PAC ID: 2860789690 Enrollment ID: I20160922001096 |
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