Jerry Edward Park in Virginia Beach - Mental Health
Jerry Edward Park - NPI 1457381360
Jerry Edward Park is a Mental Health in Virginia Beach, Virginia. Jerry Edward Park practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry Edward Park is 1457381360. The last update date is 2009-09-24.
Jerry Edward Park's current location address is 184 Business Park Drive, Virginia Beach, Virginia. You can contact this provider via phone number 7574663336 and fax number 7574555750. The mailing address for Jerry Edward Park is 184 Business Park Drive, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Edward Park |
|---|---|
| Address | 184 Business Park Drive, Virginia Beach, Virginia |
| Phone Number | 7574663336 |
| Fax Number | 7574555750 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1457381360 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2009-09-24 |
Provider Mailing Address Detail
| Address | 184 Business Park Drive |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234626533 |
| Phone Number | 7574663336 |
| Fax Number | 7574555750 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 701002010 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identification code assigned to Jerry Edward Park by the Centers for Medicare & Medicaid Services?
The Jerry Edward Park has been issued the NPI (National Provider Identifier) 1457381360. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jerry Edward Park is geographically located?
The Jerry Edward Park is physically situated at the following location: 184 Business Park Drive, Virginia Beach, VA, 234626533.
What is the Jerry Edward Park's area of specialization and corresponding taxonomy classification?
The Jerry Edward Park's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date was the 1457381360 assigned to Jerry Edward Park?
The Jerry Edward Park was issued its 1457381360 on 2006-07-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jerry Edward Park most recently updated or revised?
The information pertaining to Jerry Edward Park, including its address, specialty, and other relevant details, was last updated or revised on 2009-09-24.