| Renew Psychiatric Services Inc | |
|
1213 Laskin Rd Ste 208 Virginia Beach VA 23451-5260 | |
| (757) 685-7676 | |
| Not Available |
| Full Name | Renew Psychiatric Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1213 Laskin Rd Ste 208, Virginia Beach, Virginia |
| Authorized Official Name and Position | Monica Riffey (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7579379273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Psychiatric Services Inc 1213 Laskin Rd Ste 208 Virginia Beach VA 23451-5260 Ph: () - | Renew Psychiatric Services Inc 1213 Laskin Rd Ste 208 Virginia Beach VA 23451-5260 Ph: (757) 685-7676 |
| NPI Number | 1033981824 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 2668817537 |
|---|---|
| Medicare Enrollment ID | O20240301000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033981824 | NPI | - | NPPES |
| Provider Name | Monica A.n. Riffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477238210 PECOS PAC ID: 0345670170 Enrollment ID: I20240301000567 |
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