| Whole Journey | |
|
1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 | |
| (757) 296-0800 | |
| Not Available |
| Full Name | Whole Journey |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1545 Crossways Blvd Ste 250, Chesapeake, Virginia |
| Authorized Official Name and Position | Nikissia Craig (OWNER/DIRECTOR) |
| Authorized Official Contact | 7572960800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Journey 400 S Military Hwy Apt 1214 Virginia Beach VA 23464-1884 Ph: (757) 296-0800 | Whole Journey 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 296-0800 |
| NPI Number | 1861850745 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 05/05/2016 |
| Medicare PECOS PAC ID | 5092014423 |
|---|---|
| Medicare Enrollment ID | O20160505001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861850745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904009144 (Virginia) | Primary |
| Provider Name | Nikissia L Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952778524 PECOS PAC ID: 7618276056 Enrollment ID: I20160505002148 |
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