Blakey Weaver Counseling Center Inc - Medicare Mental Health Clinic in Suffolk, VA

Blakey Weaver Counseling Center Inc is a medicare enrolled mental health clinic (Community/behavioral Health) in Suffolk, Virginia. The current practice location for Blakey Weaver Counseling Center Inc is 129 N Saratoga St Ste 1, Suffolk, Virginia. For appointments, you can reach them via phone at (757) 539-5353. The mailing address for Blakey Weaver Counseling Center Inc is 129 N Saratoga St Ste 1, Suffolk, Virginia and phone number is (757) 539-5353.

Blakey Weaver Counseling Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245791995. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 539-5353.

Contact Information

Blakey Weaver Counseling Center Inc
129 N Saratoga St Ste 1
Suffolk
VA 23434-5255
(757) 539-5353
(757) 539-5399

Mental Health Clinic Profile

Full NameBlakey Weaver Counseling Center Inc
SpecialityCommunity/Behavioral Health
Location129 N Saratoga St Ste 1, Suffolk, Virginia
Authorized Official Name and PositionKawanna Evette Ward-hall (CHAIRMAN)
Authorized Official Contact7573950472
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blakey Weaver Counseling Center Inc
129 N Saratoga St Ste 1
Suffolk
VA 23434-5255

Ph: (757) 539-5353
Blakey Weaver Counseling Center Inc
129 N Saratoga St Ste 1
Suffolk
VA 23434-5255

Ph: (757) 539-5353

NPI Details:

NPI Number1245791995
Provider Enumeration Date03/26/2019
Last Update Date09/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4284064981
Medicare Enrollment IDO20200421001004

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Medical Identifiers

Medical identifiers for Blakey Weaver Counseling Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245791995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Blakey Weaver Counseling Center Inc acts as a billing entity for following providers:
Provider NameKawanna Evette Ward
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043515331
PECOS PAC ID: 9830333822
Enrollment ID: I20130913000292

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Community/Behavioral Health in Suffolk, VA

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