Braye-Gonzalez, Damita Y

Braye-Gonzalez, Damita Y is an individual health care provider with primary practice located at 1101 Madison Plz Suite 100, Chesapeake VA 23320-5179. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Braye-Gonzalez, Damita Y can be contacted via phone (757) 548-5884.

Contact Information

Primary practice address
1101 Madison Plz Suite 100 Chesapeake VA 23320-5179
Phone: (757) 548-5884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002336 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000175 Virginia

Profile Details

NPI number 1316062888
LBN Legal business name Braye-Gonzalez, Damita Y
Credentials L.P.C., L.M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316062888 NPPES
Virginia Other 381222 BCBS
Virginia Other 381222 BCBS
Virginia Other 5406188 BCBS
Virginia Other 087680 BCBS
Virginia Other 381222 BCBS
Virginia Other 381222 BCBS

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