Wholehearted Counseling | |
1642 Pleasure House Rd Ste 102 Virginia Beach VA 23455-4050 | |
(757) 578-2985 | |
(757) 578-5064 |
Full Name | Wholehearted Counseling |
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Speciality | Social Worker |
Location | 1642 Pleasure House Rd Ste 102, Virginia Beach, Virginia |
Authorized Official Name and Position | Bryana Weaver (PRESIDENT) |
Authorized Official Contact | 7575782985 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wholehearted Counseling 1642 Pleasure House Rd Ste 102 Virginia Beach VA 23455-4050 Ph: (757) 578-2985 | Wholehearted Counseling 1642 Pleasure House Rd Ste 102 Virginia Beach VA 23455-4050 Ph: (757) 578-2985 |
NPI Number | 1093202541 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 09/12/2023 |
Certification Date | 09/12/2023 |
Medicare PECOS PAC ID | 5597011007 |
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Medicare Enrollment ID | O20180712002612 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093202541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701006630 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904007147 (Virginia) | Primary |
Provider Name | Caroline Slone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790770212 PECOS PAC ID: 6800953241 Enrollment ID: I20090330000277 |
Provider Name | Kimberly Foreman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255647400 PECOS PAC ID: 5395913909 Enrollment ID: I20110727000088 |
Provider Name | Jennifer J Huband |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356703383 PECOS PAC ID: 6608165733 Enrollment ID: I20160512002433 |
Provider Name | Georgia S Phillips |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538523972 PECOS PAC ID: 0941591457 Enrollment ID: I20160614000184 |
Provider Name | Nicholas T Kaniuka |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215396049 PECOS PAC ID: 1850667700 Enrollment ID: I20171021000062 |
Provider Name | Ingrid Middleton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750695714 PECOS PAC ID: 2769789023 Enrollment ID: I20180611001623 |
Provider Name | Phyllis A Pierce |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437333994 PECOS PAC ID: 5395006225 Enrollment ID: I20200604002253 |
Provider Name | Amber M Ferjuste |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457025678 PECOS PAC ID: 2769878388 Enrollment ID: I20220407002476 |
Provider Name | Keyla V Silva-byrd |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447613070 PECOS PAC ID: 9830579846 Enrollment ID: I20220708000977 |
Provider Name | Mary Shubert |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679272918 PECOS PAC ID: 9133594815 Enrollment ID: I20230411001996 |
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