| Sanguine Therapy, Llc | |
|
1832 Kempsville Rd Ste 112 Virginia Beach VA 23464-6861 | |
| (757) 354-1207 | |
| Not Available |
| Full Name | Sanguine Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1832 Kempsville Rd Ste 112, Virginia Beach, Virginia |
| Authorized Official Name and Position | Tonya Bennett (OWNER) |
| Authorized Official Contact | 7573541207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanguine Therapy, Llc 1832 Kempsville Rd Ste 112 Virginia Beach VA 23464-6861 Ph: (757) 354-1207 | Sanguine Therapy, Llc 1832 Kempsville Rd Ste 112 Virginia Beach VA 23464-6861 Ph: (757) 354-1207 |
| NPI Number | 1982387528 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 7810350766 |
|---|---|
| Medicare Enrollment ID | O20230825001339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982387528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tonya Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598132607 PECOS PAC ID: 8729441670 Enrollment ID: I20230825001380 |
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