MEDICARE: ACCESS HEALTH EDUCATORS OF AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1265883532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HEALTH EDUCATORS OF AMERICA

Provider Business Mailing Address
First Line	:	1012 HILLSIDE AVE
Second Line	:	SUITE B
City	:	NORFOLK
State	:	VA
Zip	:	23503-2008
Country	:	US
Telephone Number	:	803-243-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 HILLSIDE AVE
Second Line	:	SUITE B
City	:	NORFOLK
State	:	VA
Zip	:	23503-2008
Country	:	US
Telephone Number	:	803-243-5553
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANGELA GREEN MIDDLETON
Credential	:
Telephone Number	:	803-243-5553

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	06/28/2016

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