Independence Psychotherapy Services Llc

LBN: Independence Psychotherapy Services Llc
Independence Psychotherapy Services Llc is an health care organization with primary practice located at 215 Mclaws Cir Suite 1, Williamsburg VA 23185-5799. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Independence Psychotherapy Services Llc can be contacted via phone (757) 345-6428, or through Rein, Linda Bourdon via phone (757) 345-6428.

Contact Information

Primary practice address
215 Mclaws Cir Suite 1 Williamsburg VA 23185-5799
Phone: (757) 345-6428
Fax: (757) 345-6808
Website:
Map and Directions
Authorized official contact:
Name: Rein, Linda Bourdon ED.D., LCP
Phone: (757) 345-6428

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 07010005880 Virginia
Behavioral Health & Social Service Providers / Counselor 101Y00000X 08701003392 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004468 Virginia

Profile Details

NPI number 1306235783
LBN Legal business name Independence Psychotherapy Services Llc
DBA Doing business as
Authorized official Rein, Linda Bourdon ED.D., LCP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306235783 NPPES
Virginia Other 1417232802 INDEPENDENCE CHILD THERAPY SERVICES LLC

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