Individual
MRS. AGATHA PARKS-SAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 FAIRFAX AVE, 118, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 -003
MANAGED HEALTH CARE NETWORK/TRICARE
VA
05
—
010061903
—
VA
01
—
105775
ANTHEM
VA
01
—
2346739
CIGNA BEHAVIORAL HEALTH
—
01
—
83251M
SENTARA
VA
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
02/28/2006
Last updated
01/23/2009
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