Rawles, Portia Deneen

Rawles, Portia Deneen is an sole proprietor health care provider with primary practice located at 2010 Old Greenbrier Rd Ste G , Chesapeake VA 23320-2619. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Rawles, Portia Deneen can be contacted via phone (757) 493-2912.

Contact Information

Primary practice address
2010 Old Greenbrier Rd Ste G Chesapeake VA 23320-2619
Phone: (757) 493-2912
Fax: (866) 730-6583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3884 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003069 Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1639198153
LBN Legal business name Rawles, Portia Deneen
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Feb 16th, 2023 - about last year

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 1639198153 NPPES
Virginia Other SC0001033 MEDICARE
Virginia MEDICAID 010177669 MEDICARE
Virginia Other 2248507 MEDICARE
Virginia Other 450517829 MEDICARE
Virginia Other 7277741 MEDICARE
Virginia Other 180317 MEDICARE
Virginia Other 1639198153 MEDICARE
Virginia MEDICAID 6001245 MEDICARE
Virginia Other 085601M MEDICARE

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