| Pil LLC | |
|
522 S Independence Blvd Ste 102d Virginia Beach VA 23452-1149 | |
| (757) 735-0153 | |
| Not Available |
| Full Name | Pil LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 522 S Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Terrell Cuffee (CEO / PROGRAM DIRECTOR) |
| Authorized Official Contact | 7577350153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pil LLC 522 S Independence Blvd Ste 102d Virginia Beach VA 23452-1149 Ph: (757) 735-0153 | Pil LLC 522 S Independence Blvd Ste 102d Virginia Beach VA 23452-1149 Ph: (757) 735-0153 |
| NPI Number | 1114382009 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Medicare PECOS PAC ID | 6204329469 |
|---|---|
| Medicare Enrollment ID | O20251205000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1681-03-001 (Virginia) | Primary |
| Provider Name | Shawnta Mcmillon-brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467177170 PECOS PAC ID: 7911350772 Enrollment ID: I20240129000329 |
| Provider Name | Terrell L Cuffee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619349248 PECOS PAC ID: 7012400278 Enrollment ID: I20251205000779 |
| Provider Name | Ashley Dais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154043552 PECOS PAC ID: 3274069190 Enrollment ID: I20251222002300 |
| Provider Name | Erica Denise Foreman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881356459 PECOS PAC ID: 0345721809 Enrollment ID: I20260223002028 |
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