| Visions Of Hope Psychological Services | |
|
555 Southlake Blvd Unit C2 North Chesterfield VA 23236-3060 | |
| (804) 592-0491 | |
| Not Available |
| Full Name | Visions Of Hope Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 555 Southlake Blvd Unit C2, North Chesterfield, Virginia |
| Authorized Official Name and Position | Selisha Nelson (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8045920491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Of Hope Psychological Services 555 Southlake Blvd Unit C2 North Chesterfield VA 23236-3060 Ph: (804) 592-0491 | Visions Of Hope Psychological Services 555 Southlake Blvd Unit C2 North Chesterfield VA 23236-3060 Ph: (804) 592-0491 |
| NPI Number | 1710576343 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 5890101620 |
|---|---|
| Medicare Enrollment ID | O20210303000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710576343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Selisha Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841849163 PECOS PAC ID: 8325472806 Enrollment ID: I20191217001662 |
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