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:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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