1689615296 WESTERN TIDEWATER COMMUNITY MENTAL
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- WESTERN TIDEWATER COMMUNITY MENTAL
- Enumeration Date
- June 8, 2006
- Last Update
- May 17, 2023
- Authorized Official
- MARION YOUNG
REIMBURSEMENT SUPERVISOR
Phone: (757) 687-9087
Practice Location
- Address
- 7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 234352762 - Phone
- (757) 966-2805
- Fax
- (757) 673-2586
Mailing Address
- Address
- 7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 234352762 - Phone
- (757) 966-2805
- Fax
- (757) 673-2586
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Case Management Agency | 251B00000X | Case Management | 084-16-001 | VA | No |
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | N/A | N/A | No |
| In Home Supportive Care Agency | 253Z00000X | In Home Supportive Care | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | 084-03-002 | VA | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | 084-03-002 | VA | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | 084-02-029 | VA | No |
| Non-emergency Medical Transport (VAN) | 343900000X | Non-emergency Medical Transport (VAN) | N/A | VA | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270369 | 01 | VA | ANTHEM GROUP NUMBER |
| 004945310 | 05 | VA | N/A |
| 1689615296 | 05 | VA | N/A |
Frequently Asked Questions
What is WESTERN TIDEWATER COMMUNITY MENTAL's NPI number?
WESTERN TIDEWATER COMMUNITY MENTAL's NPI number is 1689615296.
Which doctor has NPI number 1689615296?
The doctor with NPI number 1689615296 is WESTERN TIDEWATER COMMUNITY MENTAL.
What is WESTERN TIDEWATER COMMUNITY MENTAL's practice address?
WESTERN TIDEWATER COMMUNITY MENTAL's practice address is 7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA, 234352762.
Which doctor practices at 7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA, 234352762?
WESTERN TIDEWATER COMMUNITY MENTAL practices at 7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA, 234352762.
What is WESTERN TIDEWATER COMMUNITY MENTAL's phone number?
WESTERN TIDEWATER COMMUNITY MENTAL's phone number is (757) 966-2805.
Who is (757) 966-2805?
(757) 966-2805 is the phone number for WESTERN TIDEWATER COMMUNITY MENTAL.
What is WESTERN TIDEWATER COMMUNITY MENTAL's specialty?
WESTERN TIDEWATER COMMUNITY MENTAL's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is WESTERN TIDEWATER COMMUNITY MENTAL?
WESTERN TIDEWATER COMMUNITY MENTAL is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is WESTERN TIDEWATER COMMUNITY MENTAL a Mental Health (Including Community Mental Health Center)?
Yes, WESTERN TIDEWATER COMMUNITY MENTAL is a Mental Health (Including Community Mental Health Center).
Is WESTERN TIDEWATER COMMUNITY MENTAL still practicing?
Yes, WESTERN TIDEWATER COMMUNITY MENTAL is currently practicing.
Is WESTERN TIDEWATER COMMUNITY MENTAL accepting new patients?
WESTERN TIDEWATER COMMUNITY MENTAL may be accepting new patients. Please call their office at (757) 966-2805 to inquire about availability.
Is NPI 1689615296 still active?
Yes, NPI 1689615296 is currently active.
Where does WESTERN TIDEWATER COMMUNITY MENTAL practice?
WESTERN TIDEWATER COMMUNITY MENTAL practices in SUFFOLK, VA.