| Salubrious Therapy Solutions Llc | |
|
780 Pilot House Dr Ste 100a Newport News VA 23606-4411 | |
| (757) 593-1840 | |
| Not Available |
| Full Name | Salubrious Therapy Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 780 Pilot House Dr Ste 100a, Newport News, Virginia |
| Authorized Official Name and Position | T. Nicole Ellis (OWNER) |
| Authorized Official Contact | 7575931840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salubrious Therapy Solutions Llc 780 Pilot House Dr Ste 100a Newport News VA 23606-4411 Ph: (757) 593-1840 | Salubrious Therapy Solutions Llc 780 Pilot House Dr Ste 100a Newport News VA 23606-4411 Ph: (757) 593-1840 |
| NPI Number | 1952996373 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Medicare PECOS PAC ID | 8022475284 |
|---|---|
| Medicare Enrollment ID | O20230601002958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952996373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | T. Nicole Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649609546 PECOS PAC ID: 6709171101 Enrollment ID: I20160824002194 |
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