| The Ghr Center For Addiction Treatment And Recovery | |
|
850 Tidewater Dr Ste A Norfolk VA 23504-3300 | |
| (757) 333-6992 | |
| Not Available |
| Full Name | The Ghr Center For Addiction Treatment And Recovery |
|---|---|
| Speciality | Internal Medicine |
| Location | 850 Tidewater Dr Ste A, Norfolk, Virginia |
| Authorized Official Name and Position | Shani Kirvin (OPERATIONS MANAGER) |
| Authorized Official Contact | 7573336992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ghr Center For Addiction Treatment And Recovery 850 Tidewater Dr Ste A Norfolk VA 23504-3300 Ph: (757) 209-2776 | The Ghr Center For Addiction Treatment And Recovery 850 Tidewater Dr Ste A Norfolk VA 23504-3300 Ph: (757) 333-6992 |
| NPI Number | 1265970263 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/22/2023 |
| Medicare PECOS PAC ID | 5092082032 |
|---|---|
| Medicare Enrollment ID | O20170523003026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265970263 | NPI | - | NPPES |
| 1811905250 | Other | VA | NPI FOR LAWRENCE ROSS PHD |
| 0101222715 | Other | VA | MEDICAL LICENSE |
| 1881870442 | Other | VA | GENE GERMANO MD INDIVIDUAL NPI |
| Provider Name | Gene A Germano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881870442 PECOS PAC ID: 7214073527 Enrollment ID: I20100511000654 |
| Provider Name | Lawrence Ross |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1811905250 PECOS PAC ID: 3678674116 Enrollment ID: I20120515000149 |
| Provider Name | Caprice D Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821543257 PECOS PAC ID: 8628366531 Enrollment ID: I20161010000811 |
| Provider Name | Eugenia Anne Storms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912543463 PECOS PAC ID: 3173913811 Enrollment ID: I20211211000003 |
| Provider Name | Robin Germano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235867169 PECOS PAC ID: 5597140319 Enrollment ID: I20220915000245 |
| Provider Name | Varney Goll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568094233 PECOS PAC ID: 4789031121 Enrollment ID: I20231107002586 |
| Provider Name | Antoinette Goss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154605319 PECOS PAC ID: 8921447962 Enrollment ID: I20240423003230 |
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