| Supervision Central And Counseling Services | |
|
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 | |
| (757) 319-5174 | |
| Not Available |
| Full Name | Supervision Central And Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, Virginia |
| Authorized Official Name and Position | Arisza N Hillman (OWNER) |
| Authorized Official Contact | 7573195174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supervision Central And Counseling Services 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (757) 319-5174 | Supervision Central And Counseling Services 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (757) 319-5174 |
| NPI Number | 1013674258 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Medicare PECOS PAC ID | 1557752185 |
|---|---|
| Medicare Enrollment ID | O20211215001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013674258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Arisza N Hillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518300516 PECOS PAC ID: 7911336656 Enrollment ID: I20200401002162 |
| Provider Name | Kadesha Latisha Garraway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144957333 PECOS PAC ID: 9830547769 Enrollment ID: I20231202000153 |
| Provider Name | Shanta Denard Clay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609357763 PECOS PAC ID: 0547603631 Enrollment ID: I20240206000891 |
| Provider Name | Kristen Goode |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215769823 PECOS PAC ID: 4486189370 Enrollment ID: I20241202002535 |
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