| The Children And Adult Counseling Center Llc | |
|
930 Majestic Ave Ste 100 Norfolk VA 23504-4055 | |
| (757) 627-1099 | |
| (757) 640-0954 |
| Full Name | The Children And Adult Counseling Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 930 Majestic Ave Ste 100, Norfolk, Virginia |
| Authorized Official Name and Position | Paul Walker (OWNER/PROVIDER AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7576271099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children And Adult Counseling Center Llc 930 Majestic Ave Ste 100 Norfolk VA 23504-4055 Ph: (757) 627-1099 | The Children And Adult Counseling Center Llc 930 Majestic Ave Ste 100 Norfolk VA 23504-4055 Ph: (757) 627-1099 |
| NPI Number | 1841814639 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Medicare PECOS PAC ID | 3476971888 |
|---|---|
| Medicare Enrollment ID | O20200917000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841814639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paul Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235470733 PECOS PAC ID: 3476790312 Enrollment ID: I20130513000363 |
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