| Seaside Behavioral Health | |
|
1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387 | |
| (757) 648-8605 | |
| (757) 648-1363 |
| Full Name | Seaside Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 1072 Laskin Rd Ste 104, Virginia Beach, Virginia |
| Authorized Official Name and Position | Carolyn A Baxter (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7576488605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Behavioral Health 1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387 Ph: (757) 648-8605 | Seaside Behavioral Health 1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387 Ph: (757) 648-8605 |
| NPI Number | 1295284255 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/30/2016 |
| Medicare PECOS PAC ID | 6709168776 |
|---|---|
| Medicare Enrollment ID | O20170127000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295284255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jennifer F Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063405686 PECOS PAC ID: 9638223340 Enrollment ID: I20090819000654 |
| Provider Name | Renee D Strelitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679891865 PECOS PAC ID: 2769515253 Enrollment ID: I20100804000748 |
| Provider Name | Shannon Woods Cray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699172700 PECOS PAC ID: 8224352133 Enrollment ID: I20150126000840 |
| Provider Name | Gavin R Cone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659788768 PECOS PAC ID: 8426313594 Enrollment ID: I20180521002803 |
| Provider Name | Kelly M Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609137108 PECOS PAC ID: 5092064956 Enrollment ID: I20180827000558 |
| Provider Name | Tina Matthews-hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063726578 PECOS PAC ID: 3375770829 Enrollment ID: I20220105002432 |
| Provider Name | Amy Roesler Karkane |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861608168 PECOS PAC ID: 8628421112 Enrollment ID: I20240131004331 |
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