| Gateway Medical & Mental Healthcare, Llc | |
|
1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 | |
| (757) 769-4274 | |
| Not Available |
| Full Name | Gateway Medical & Mental Healthcare, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1545 Crossways Blvd Ste 250, Chesapeake, Virginia |
| Authorized Official Name and Position | Crystal J Jones (OWNER) |
| Authorized Official Contact | 7577694274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical & Mental Healthcare, Llc 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 769-4274 | Gateway Medical & Mental Healthcare, Llc 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 769-4274 |
| NPI Number | 1245827070 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Medicare PECOS PAC ID | 3173912144 |
|---|---|
| Medicare Enrollment ID | O20211112000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245827070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alecia Sheree Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558906313 PECOS PAC ID: 6204235229 Enrollment ID: I20210525001059 |
| Provider Name | Crystal J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457898728 PECOS PAC ID: 3971992942 Enrollment ID: I20211112000527 |
| Provider Name | Lancie Lokis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477917136 PECOS PAC ID: 1557751054 Enrollment ID: I20211123002634 |
| Provider Name | Keisha Arnold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073021234 PECOS PAC ID: 1355747973 Enrollment ID: I20240120000412 |
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