Masterson Psychotherapy, Llc

LBN: Masterson Psychotherapy, Llc
Masterson Psychotherapy, Llc is an health care organization with primary practice located at 4445 Corporation Ln Ste 213 , Virginia Beach VA 23462-3262. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Masterson Psychotherapy, Llc can be contacted via phone (757) 237-2906, or through Masterson, Susan via phone (757) 237-2906.

Contact Information

Primary practice address
4445 Corporation Ln Ste 213 Virginia Beach VA 23462-3262
Phone: (757) 237-2906
Fax: (757) 216-9655
Website:
Map and Directions
Authorized official contact:
Name: Masterson, Susan Licensed Clinical Social Worker (LCSW)
Phone: (757) 237-2906

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0904006823 Virginia

Profile Details

NPI number 1013498757
LBN Legal business name Masterson Psychotherapy, Llc
DBA Doing business as
Authorized official Masterson, Susan Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2018
Last updated Apr 23rd, 2024 - about 5 months 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 1013498757 NPPES
Virginia MEDICAID 1851552491

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