| Growingthru | |
|
5641 Trafalgar Arch Portsmouth VA 23703 | |
| (757) 790-1740 | |
| (757) 852-0482 |
| Full Name | Growingthru |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5641 Trafalgar Arch, Portsmouth, Virginia |
| Authorized Official Name and Position | Alicia Cave (DIRECTOR) |
| Authorized Official Contact | 7577901740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growingthru 110 Coliseum Xing # 5586 Hampton VA 23666-5971 Ph: (757) 790-1740 | Growingthru 5641 Trafalgar Arch Portsmouth VA 23703 Ph: (757) 790-1740 |
| NPI Number | 1699547950 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 1153847454 |
|---|---|
| Medicare Enrollment ID | O20250430000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699547950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alicia Cave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861080350 PECOS PAC ID: 5496157216 Enrollment ID: I20210715001645 |
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