Tidewater Psychotherapy Services

LBN: Tidewater Psychotherapy Services
Tidewater Psychotherapy Services is an health care organization with primary practice located at 260 Grayson Rd Suite 100, Virginia Beach VA 23462-4345. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty. Tidewater Psychotherapy Services can be contacted via phone (757) 497-3670, or through Friedman, Louise via phone (757) 497-3670.

Contact Information

Primary practice address
260 Grayson Rd Suite 100 Virginia Beach VA 23462-4345
Phone: (757) 497-3670
Fax: (757) 499-1947
Website:
Map and Directions
Authorized official contact:
Name: Friedman, Louise Licensed Clinical Social Worker (LCSW)
Phone: (757) 497-3670

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 204 Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X 2006112732R Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1700830742
LBN Legal business name Tidewater Psychotherapy Services
DBA Doing business as
Authorized official Friedman, Louise Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Aug 21st, 2017 - about 8 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 1700830742 NPPES
Virginia MEDICAID 1700830742

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