Western Tidewater Community Mental in Suffolk - Adult Mental Health
Western Tidewater Community Mental - NPI 1689615296
Western Tidewater Community Mental is a Adult Mental Health in Suffolk, Virginia. Western Tidewater Community Mental practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Western Tidewater Community Mental is 1689615296. The last update date is 2023-05-17.
Western Tidewater Community Mental's current location address is 7025 Harbour View Blvd Ste 119, Suffolk, Virginia. You can contact this provider via phone number 7579662805 and fax number 7576732586. The mailing address for Western Tidewater Community Mental is 7025 Harbour View Blvd Ste 119, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Tidewater Community Mental |
|---|---|
| Address | 7025 Harbour View Blvd Ste 119, Suffolk, Virginia |
| Phone Number | 7579662805 |
| Fax Number | 7576732586 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REIMBURSEM |
|---|---|
| Authorized Official Name | Young Marion |
| Telephone Number | 7576879087 |
NPI Number Detail
| NPI Number | 1689615296 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2023-05-17 |
Provider Mailing Address Detail
| Address | 7025 Harbour View Blvd Ste 119 |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234352762 |
| Phone Number | 7579662805 |
| Fax Number | 7576732586 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 084-03-002 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270369 | VA | ANTHEM GROUP NUMBER | |
| 4945310 | VA | -- | |
| 1689615296 | VA | -- |
Post Comment/ Review Below
Could you please provide the complete street address where Western Tidewater Community Mental is physically located?
The Western Tidewater Community Mental is physically situated at the following address: 7025 Harbour View Blvd Ste 119, Suffolk, VA, 234352762.
What is the Western Tidewater Community Mental's area of specialization and corresponding taxonomy classification?
The Western Tidewater Community Mental's specialty field is Adult Mental Health, and it falls under the taxonomy code 261Qm0850X, which categorizes healthcare providers based on their specialties.
What is Western Tidewater Community Mental's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Western Tidewater Community Mental is Adult Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0850X.
When did the Western Tidewater Community Mental receive its 1689615296?
The Western Tidewater Community Mental was issued its 1689615296 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
On what date did the Western Tidewater Community Mental receive its 1689615296 assignment from the Centers for Medicare & Medicaid Services?
The Western Tidewater Community Mental was assigned its 1689615296 by the Centers for Medicare & Medicaid Services on 2006-06-08.