| Sobriety & Suboxone Holistic Services | |
|
3412 Columbia St Portsmouth VA 23707-3201 | |
| (757) 606-1213 | |
| (757) 606-1329 |
| Full Name | Sobriety & Suboxone Holistic Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3412 Columbia St, Portsmouth, Virginia |
| Authorized Official Name and Position | Arnella Edwards (OWNER) |
| Authorized Official Contact | 7576061213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sobriety & Suboxone Holistic Services 3412 Columbia St Portsmouth VA 23707-3201 Ph: (757) 606-1213 | Sobriety & Suboxone Holistic Services 3412 Columbia St Portsmouth VA 23707-3201 Ph: (757) 606-1213 |
| NPI Number | 1508455627 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Certification Date | 12/16/2020 |
| Medicare PECOS PAC ID | 4183026917 |
|---|---|
| Medicare Enrollment ID | O20210715001862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508455627 | NPI | - | NPPES |
| Provider Name | Arnella M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457802795 PECOS PAC ID: 2860778099 Enrollment ID: I20170424001416 |
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