| Heavenly Crystal Weaver, LPC | |
|
710 Mobjack Pl, Newport News, VA 23606-1957 | |
| (757) 240-2571 | |
| Not Available |
| Full Name | Heavenly Crystal Weaver |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 710 Mobjack Pl, Newport News, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295244515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701007271 (Virginia) | Primary |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Crystal Weaver, LPC 710 Mobjack Pl, Newport News, VA 23606-1957 Ph: (757) 240-2571 | Heavenly Crystal Weaver, LPC 710 Mobjack Pl, Newport News, VA 23606-1957 Ph: (757) 240-2571 |
Michelle J Johnson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 602 Warwickshire Ct, Newport News, VA 23605 Phone: 757-550-5266 | |
Tiffany Brown, Counselor Medicare: Medicare Enrolled Practice Location: 8 San Jose Dr Ste 3e, Newport News, VA 23606 Phone: 757-657-8088 | |
Yana West, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1030 Loftis Blvd Ste 102, Newport News, VA 23606 Phone: 855-284-7483 Fax: 617-807-0958 | |
David Furlong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11713 Jefferson Ave Ste 200, Newport News, VA 23606 Phone: 757-503-2819 Fax: 757-369-1891 | |
Mrs. Lee Kelly Bowditch, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 7 Suite C, Newport News, VA 23606 Phone: 757-595-3900 Fax: 757-595-0649 | |
Mary Frances Parrish, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 732 Thimble Shoals Blvd Ste 101, Newport News, VA 23606 Phone: 757-598-1842 | |
Shayla S Woodard, RMFT Counselor Medicare: Medicare Enrolled Practice Location: 751 Thimble Shoals Blvd Ste K, Newport News, VA 23606 Phone: 757-586-5350 |