Western Tidewater Community Services Board in Suffolk - Adolescent And Children Mental Health
Western Tidewater Community Services Board - NPI 1164416533
Western Tidewater Community Services Board is a Adolescent And Children Mental Health in Suffolk, Virginia. Western Tidewater Community Services Board practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Western Tidewater Community Services Board is 1164416533. The last update date is 2020-08-22.
Western Tidewater Community Services Board's current location address is 5268 Godwin Blvd, Suffolk, Virginia. You can contact this provider via phone number 7572557100. The mailing address for Western Tidewater Community Services Board is 5268 Godwin Blvd, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Tidewater Community Services Board |
|---|---|
| Address | 5268 Godwin Blvd, Suffolk, Virginia |
| Phone Number | 7572557100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICIAN |
|---|---|
| Authorized Official Name | Hughes Bowe Emily |
| Credentials | LCSW |
| Telephone Number | 7572557113 |
NPI Number Detail
| NPI Number | 1164416533 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5268 Godwin Blvd |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234348135 |
| Phone Number | 7572557100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 904002622 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Post Comment/ Review Below
What is the Western Tidewater Community Services Board's unique identification number?
The Western Tidewater Community Services Board has been assigned the NPI (National Provider Identifier) Number 1164416533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Western Tidewater Community Services Board's facilities are geographically located?
The facilities of Western Tidewater Community Services Board are physically situated at the following location: 5268 Godwin Blvd, Suffolk, VA, 234348135.
What is Western Tidewater Community Services Board's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Western Tidewater Community Services Board's specialized field of practice is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0855X.
On what date was the 1164416533 assigned to Western Tidewater Community Services Board?
The Western Tidewater Community Services Board was issued its 1164416533 on 2005-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Western Tidewater Community Services Board, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Western Tidewater Community Services Board, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY