| Aark Therapeutic Services, Llc | |
|
3042 Bay Shore Ln Suffolk VA 23435-3187 | |
| (757) 672-7770 | |
| (207) 419-0164 |
| Full Name | Aark Therapeutic Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3042 Bay Shore Ln, Suffolk, Virginia |
| Authorized Official Name and Position | Aretha Porter (PRESIDENT/OWNER) |
| Authorized Official Contact | 7576727770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aark Therapeutic Services, Llc 3042 Bay Shore Ln Suffolk VA 23435-3187 Ph: (757) 672-7770 | Aark Therapeutic Services, Llc 3042 Bay Shore Ln Suffolk VA 23435-3187 Ph: (757) 672-7770 |
| NPI Number | 1629826466 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 4688199607 |
|---|---|
| Medicare Enrollment ID | O20250422002550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629826466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Aretha A Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386424927 PECOS PAC ID: 5597280511 Enrollment ID: I20250422002843 |
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