Psychotherapy Resources Of Norfolk Ltd in Norfolk - Clinical
Psychotherapy Resources Of Norfolk Ltd - NPI 1316947328
Psychotherapy Resources Of Norfolk Ltd is a Clinical in Norfolk, Virginia. Psychotherapy Resources Of Norfolk Ltd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychotherapy Resources Of Norfolk Ltd is 1316947328. The last update date is 2020-08-22.
Psychotherapy Resources Of Norfolk Ltd's current location address is 1709 Colley Ave, Norfolk, Virginia. You can contact this provider via phone number 7576400400 and fax number 7576400497. The mailing address for Psychotherapy Resources Of Norfolk Ltd is 1709 Colley Ave, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychotherapy Resources Of Norfolk Ltd |
|---|---|
| Address | 1709 Colley Ave, Norfolk, Virginia |
| Phone Number | 7576400400 |
| Fax Number | 7576400497 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kedrock Alexandra Betty |
| Credentials | LCSW |
| Telephone Number | 7576400400 |
NPI Number Detail
| NPI Number | 1316947328 |
|---|---|
| Provider Enumeration Date | 2005-08-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1709 Colley Ave |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235171675 |
| Phone Number | 7576400400 |
| Fax Number | 7576400497 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904000234 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 314544 | VA | TRICARE | |
| 98384 | VA | BCBS | |
| 49956 | VA | BCBS |
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What is the unique 10-digit identification code issued to Psychotherapy Resources Of Norfolk Ltd by the Centers for Medicare & Medicaid Services?
The Psychotherapy Resources Of Norfolk Ltd has been assigned the NPI (National Provider Identifier) 1316947328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Psychotherapy Resources Of Norfolk Ltd?
The Psychotherapy Resources Of Norfolk Ltd is situated at 1709 Colley Ave, in the city of Norfolk, state of VA, with the zip code 235171675.
What is Psychotherapy Resources Of Norfolk Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Psychotherapy Resources Of Norfolk Ltd is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316947328 to Psychotherapy Resources Of Norfolk Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1316947328 to Psychotherapy Resources Of Norfolk Ltd on 2005-08-01.
When was the Psychotherapy Resources Of Norfolk Ltd's information last updated?
The Psychotherapy Resources Of Norfolk Ltd's information was last updated on 2020-08-22.