| Eden Counseling Center | |
|
6330 Newtown Rd Suite 300 Norfolk VA 23502-4802 | |
| (757) 466-3336 | |
| (757) 455-5750 |
| Full Name | Eden Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 6330 Newtown Rd, Norfolk, Virginia |
| Authorized Official Name and Position | Paul H Van Valin (CEO) |
| Authorized Official Contact | 7574663336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Counseling Center 6330 Newtown Rd Suite 300 Norfolk VA 23502-4802 Ph: (757) 466-3336 | Eden Counseling Center 6330 Newtown Rd Suite 300 Norfolk VA 23502-4802 Ph: (757) 466-3336 |
| NPI Number | 1801906144 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 8123927407 |
|---|---|
| Medicare Enrollment ID | O20040106000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801906144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christopher W Doriani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053323139 PECOS PAC ID: 6507869930 Enrollment ID: I20060824000252 |
| Provider Name | Sandra L Borden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033364583 PECOS PAC ID: 6406905413 Enrollment ID: I20090521000642 |
| Provider Name | Paul Howard Van Valin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578597662 PECOS PAC ID: 3274432570 Enrollment ID: I20110707000007 |
| Provider Name | Becky S Vanvalin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851402697 PECOS PAC ID: 3779761101 Enrollment ID: I20110707000010 |
| Provider Name | Kristin B Cuthriell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174820583 PECOS PAC ID: 7315111549 Enrollment ID: I20111126000006 |
| Provider Name | Diane Marie Neighbarger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154626992 PECOS PAC ID: 0042487043 Enrollment ID: I20120113000702 |
| Provider Name | Lacy E Biddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194077917 PECOS PAC ID: 7012150840 Enrollment ID: I20130827000468 |
| Provider Name | Judith Lynn Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235170796 PECOS PAC ID: 3476812181 Enrollment ID: I20180125000656 |
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