Seaside Behavioral Health | |
1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387 | |
(757) 648-8605 | |
(757) 648-1363 |
Full Name | Seaside Behavioral Health |
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Speciality | Counselor |
Location | 1072 Laskin Rd Ste 104, Virginia Beach, Virginia |
Authorized Official Name and Position | Carolyn A Baxter (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7576488605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seaside Behavioral Health 1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387 Ph: (757) 648-8605 | Seaside Behavioral Health 1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387 Ph: (757) 648-8605 |
NPI Number | 1295284255 |
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Provider Enumeration Date | 09/30/2016 |
Last Update Date | 09/30/2016 |
Medicare PECOS PAC ID | 6709168776 |
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Medicare Enrollment ID | O20170127000049 |
Identifier | Type | State | Issuer |
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1295284255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Laurie D Grant |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033261938 PECOS PAC ID: 9931209525 Enrollment ID: I20070711000835 |
Provider Name | Jennifer F Brown |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1063405686 PECOS PAC ID: 9638223340 Enrollment ID: I20090819000654 |
Provider Name | Renee D Strelitz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679891865 PECOS PAC ID: 2769515253 Enrollment ID: I20100804000748 |
Provider Name | Shannon Woods Cray |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699172700 PECOS PAC ID: 8224352133 Enrollment ID: I20150126000840 |
Provider Name | Gavin R Cone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659788768 PECOS PAC ID: 8426313594 Enrollment ID: I20180521002803 |
Provider Name | Kelly M Higgins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609137108 PECOS PAC ID: 5092064956 Enrollment ID: I20180827000558 |
Provider Name | Tina Matthews-hayes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063726578 PECOS PAC ID: 3375770829 Enrollment ID: I20220105002432 |
Provider Name | Amy Roesler Karkane |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1861608168 PECOS PAC ID: 8628421112 Enrollment ID: I20240131004331 |
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