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NPI Code Detail

MEDICARE: MRS. ZOE MICAELA PERALTA-PAGE LMHC, LPC

MEDICARE: MRS. ZOE MICAELA PERALTA-PAGE LMHC, LPC
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
1101YM0800XMental Health Counselor2023048392MO
2101YM0800XMental Health Counselor133289IA
3101YM0800XMental Health CounselorLH61351452WA
4101YM0800XMental Health CounselorLPC015709GA
5101YM0800XMental Health Counselor14204606-6004UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689227332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ZOE MICAELA PERALTA-PAGE LMHC, LPC
Provider Business Mailing Address
First Line : 780 LYNNHAVEN PKWY STE 400
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-7332
Country : US
Telephone Number : 571-207-6256
Fax Number : 571-888-3303
Provider Business Practice Location Address
First Line : 780 LYNNHAVEN PKWY STE 400
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-7332
Country : US
Telephone Number : 571-207-6246
Fax Number : 571-888-3303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 04/29/2026

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