| Hope Psychotherapy Services, Llc | |
|
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 | |
| (757) 304-1699 | |
| Not Available |
| Full Name | Hope Psychotherapy Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, Virginia |
| Authorized Official Name and Position | Nicole Georgina Gibbs (OWNER) |
| Authorized Official Contact | 7573041699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Psychotherapy Services, Llc 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (757) 304-1699 | Hope Psychotherapy Services, Llc 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (757) 304-1699 |
| NPI Number | 1275153140 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 8426474263 |
|---|---|
| Medicare Enrollment ID | O20200811003288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275153140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nicole G Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821464405 PECOS PAC ID: 3870925506 Enrollment ID: I20191118001315 |
| Provider Name | Keyonda Denea Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619029311 PECOS PAC ID: 4789067570 Enrollment ID: I20220811000482 |
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