| Teachable Moments Therapy Group | |
|
2 Eaton St Ste 502 Hampton VA 23669-4055 | |
| (757) 535-9080 | |
| (757) 251-6467 |
| Full Name | Teachable Moments Therapy Group |
|---|---|
| Speciality | Counselor |
| Location | 2 Eaton St Ste 502, Hampton, Virginia |
| Authorized Official Name and Position | Syreeta Tiara Dawkins (CEO) |
| Authorized Official Contact | 7575359080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teachable Moments Therapy Group 2 Eaton St Ste 502 Hampton VA 23669-4055 Ph: (757) 535-9080 | Teachable Moments Therapy Group 2 Eaton St Ste 502 Hampton VA 23669-4055 Ph: (757) 535-9080 |
| NPI Number | 1841779477 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Medicare PECOS PAC ID | 2668901638 |
|---|---|
| Medicare Enrollment ID | O20250122000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841779477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Juanita Renee Burtt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720744857 PECOS PAC ID: 2466843339 Enrollment ID: I20220209002028 |
| Provider Name | Syreeta Dawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487083275 PECOS PAC ID: 4486942034 Enrollment ID: I20250122000090 |
| Provider Name | Melody Almodovar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578935334 PECOS PAC ID: 2567991441 Enrollment ID: I20250122000839 |
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