| Ict Services, Inc. | |
|
6465 College Park Sq Ste 300 Va Beach VA 23464-3622 | |
| (757) 351-0057 | |
| (757) 351-6890 |
| Full Name | Ict Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6465 College Park Sq Ste 300, Va Beach, Virginia |
| Authorized Official Name and Position | Morgan Brianna Ketner-white (CEO, PRESIDENT) |
| Authorized Official Contact | 7573510057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ict Services, Inc. 6465 College Park Sq Ste 300 Va Beach VA 23464-3622 Ph: (757) 351-0005 | Ict Services, Inc. 6465 College Park Sq Ste 300 Va Beach VA 23464-3622 Ph: (757) 351-0057 |
| NPI Number | 1619340858 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619340858 | NPI | - | NPPES |
| 30017483470001 | Medicaid | VA | |
| 16186 | Medicaid | VA | |
| 30017483470002 | Medicaid | VA |
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