| Shelby Debause, LMFT | |
|
2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | |
| (757) 827-7707 | |
| (757) 838-2573 |
| Full Name | Shelby Debause |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 24 Years |
| Location | 2202 Executive Dr, Hampton, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932145844 | NPI | - | NPPES |
| PK100082781 | Other | AMERICAN PYCH SERVICES | |
| O80718M | Other | VA | SENTARA HEALTH MANAGEMENT |
| 191690 | Other | VA | ANTHEM |
| 7050631 | Other | AETNA | |
| 239462 | Other | COMPSYCH | |
| 339586 | Other | MANAGED HEALTH NET/TRICARE | |
| 738916000 | Other | MAGELLAN | |
| 339586 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 717001078 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Counseling Center, Inc. | 8729091715 | 51 |
| Entity Name | Genesis Counseling Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164451399 PECOS PAC ID: 8729091715 Enrollment ID: O20060714000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Debause, LMFT 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 Ph: (757) 827-7707 | Shelby Debause, LMFT 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 Ph: (757) 827-7707 |
Jennifer Dattilo Watts, Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 2206 Executive Dr Ste A, Hampton, VA 23666 Phone: 757-597-8350 | |
Kirsten Burt, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 2202 Executive Dr Ste C, Hampton, VA 23666 Phone: 757-827-7707 Fax: 757-838-2573 | |
Mrs. Gwendolyn Rose Mbuvi, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 15 Research Dr Ste A, Hampton, VA 23666 Phone: 757-315-8039 |