| Shaping Your Future Psychiatry | |
|
3082 Brickhouse Ct Ste B Virginia Beach VA 23452-6859 | |
| (757) 528-2850 | |
| (757) 432-3159 |
| Full Name | Shaping Your Future Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 3082 Brickhouse Ct Ste B, Virginia Beach, Virginia |
| Authorized Official Name and Position | Trisha Nardia Parker (CEO) |
| Authorized Official Contact | 7575282850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Your Future Psychiatry 4300 Portsmouth Blvd Unit 9183 Chesapeake VA 23321-0607 Ph: (757) 528-2850 | Shaping Your Future Psychiatry 3082 Brickhouse Ct Ste B Virginia Beach VA 23452-6859 Ph: (757) 528-2850 |
| NPI Number | 1679185573 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 8921427501 |
|---|---|
| Medicare Enrollment ID | O20200930003485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679185573 | NPI | - | NPPES |
| Provider Name | Trisha Nardia Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609187 PECOS PAC ID: 4981037702 Enrollment ID: I20191210001096 |
| Provider Name | Candace B Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751530 PECOS PAC ID: 4981034253 Enrollment ID: I20200429001017 |
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