| Southside Services, Llc | |
|
1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 | |
| (757) 309-1405 | |
| Not Available |
| Full Name | Southside Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1545 Crossways Blvd Ste 250, Chesapeake, Virginia |
| Authorized Official Name and Position | Annie J Scott (LPC) |
| Authorized Official Contact | 7573091405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Services, Llc 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 309-1405 | Southside Services, Llc 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 309-1405 |
| NPI Number | 1295211316 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 12/03/2025 |
| Certification Date | 12/03/2025 |
| Medicare PECOS PAC ID | 4789112921 |
|---|---|
| Medicare Enrollment ID | O20250115002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211316 | NPI | - | NPPES |
| 30015286400002 | Medicaid | VA | |
| 30015286400001 | Medicaid | VA | |
| 30015286400003 | Medicaid | VA | |
| 30015286400004 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2356 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Annie Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053923185 PECOS PAC ID: 4486182623 Enrollment ID: I20250115002459 |
Covenant Way Clinical Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Crossways Blvd, Chesapeake, VA 23320 Phone: 757-606-0971 | |
The Mule Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Juniper Cres Ste 112, Chesapeake, VA 23320 Phone: 757-762-1831 | |
Embracing Mental Health Wealth Psychological Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2011 Angler Ct, Chesapeake, VA 23323 Phone: 757-692-8526 Fax: 757-337-8215 | |
Miles Family Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Juniper Cres Ste 2, Chesapeake, VA 23320 Phone: 757-904-1866 Fax: 757-904-1738 | |
Innovative Counseling Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-842-0542 | |
Pl Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Sun Ave, Chesapeake, VA 23325 Phone: 757-264-1033 | |
Able Minds Aba Va Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Crossways Blvd, Chesapeake, VA 23320 Phone: 410-846-2253 |