| C&c Therapy Associates Llc | |
|
4169 Virginia Beach Blvd Ste 150 Virginia Beach VA 23452-1783 | |
| (804) 641-5176 | |
| (757) 210-3996 |
| Full Name | C&c Therapy Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4169 Virginia Beach Blvd Ste 150, Virginia Beach, Virginia |
| Authorized Official Name and Position | Tamara Childress (OWNER) |
| Authorized Official Contact | 8046415176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&c Therapy Associates Llc 4169 Virginia Beach Blvd Ste 150 Virginia Beach VA 23452-1783 Ph: (804) 641-5176 | C&c Therapy Associates Llc 4169 Virginia Beach Blvd Ste 150 Virginia Beach VA 23452-1783 Ph: (804) 641-5176 |
| NPI Number | 1265022354 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Medicare PECOS PAC ID | 6709302060 |
|---|---|
| Medicare Enrollment ID | O20250429003184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265022354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tamara Childress |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255769543 PECOS PAC ID: 8022534387 Enrollment ID: I20250429003286 |
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