White Cloud Therapeutic Services, Llc | |
324 Monticello Ave Williamsburg VA 23185-2834 | |
(757) 503-7917 | |
(855) 823-3243 |
Full Name | White Cloud Therapeutic Services, Llc |
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Speciality | Psychologist |
Location | 324 Monticello Ave, Williamsburg, Virginia |
Authorized Official Name and Position | Joseph A. Garcia (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7575037917 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Cloud Therapeutic Services, Llc 324 Monticello Ave Williamsburg VA 23185-2834 Ph: (757) 503-7917 | White Cloud Therapeutic Services, Llc 324 Monticello Ave Williamsburg VA 23185-2834 Ph: (757) 503-7917 |
NPI Number | 1720551963 |
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Provider Enumeration Date | 01/10/2019 |
Last Update Date | 04/30/2023 |
Certification Date | 04/30/2023 |
Medicare PECOS PAC ID | 9436582558 |
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Medicare Enrollment ID | O20191204000645 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720551963 | NPI | - | NPPES |
601426497 | Medicaid | VA | |
0812081 | Other | VA | OPTIMA |
Provider Name | Joseph A. Garcia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770099780 PECOS PAC ID: 7012270424 Enrollment ID: I20180418000789 |
Provider Name | Staci Elizabeth Briggs |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790387017 PECOS PAC ID: 0941659015 Enrollment ID: I20231214001484 |
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