| Whole Village Counseling, Advocacy, And Mental Health Services, Llc | |
|
3235 Academy Ave Ste 303 Portsmouth VA 23703-3200 | |
| (757) 454-2112 | |
| Not Available |
| Full Name | Whole Village Counseling, Advocacy, And Mental Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3235 Academy Ave Ste 303, Portsmouth, Virginia |
| Authorized Official Name and Position | Natasha Jones (CEO) |
| Authorized Official Contact | 7574542112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Village Counseling, Advocacy, And Mental Health Services, Llc Po Box 7693 Portsmouth VA 23707-0693 Ph: () - | Whole Village Counseling, Advocacy, And Mental Health Services, Llc 3235 Academy Ave Ste 303 Portsmouth VA 23703-3200 Ph: (757) 454-2112 |
| NPI Number | 1760979827 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 3375988587 |
|---|---|
| Medicare Enrollment ID | O20240227004675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760979827 | NPI | - | NPPES |
| Provider Name | Natasha Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194222323 PECOS PAC ID: 4284079492 Enrollment ID: I20240227004702 |
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