ASSOCIATED COUNSELORS OF TIDEWATER NPI 1528087616

NPI Information

NPI: 1528087616
Provider Name: ASSOCIATED COUNSELORS OF TIDEWATER
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
287 INDEPENDENCE BLVD STE 219
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 490-6960
Get Directions

ASSOCIATED COUNSELORS OF TIDEWATER is a professional counselor in Virginia Beach, VA. ASSOCIATED COUNSELORS OF TIDEWATER NPI is 1528087616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

287 INDEPENDENCE BLVD STE 219
VIRGINIA BEACH, VA
ZIP 23462-956
Phone: (757) 490-6960
Fax: (757) 490-6995

The provider's authorized official is Christianne Harmon .
The authorized official title is Office Manager and has the following contact phone number (757) 490-6960.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	0904002454	VIRGINIA	No
2	106H00000X	Marriage & Family Therapist		0717000866	VIRGINIA	No
3	101YP2500X	Counselor	Professional	0701002379	VIRGINIA	No
4	106H00000X	Marriage & Family Therapist		0717000080	VIRGINIA	No
5	101YP2500X	Counselor	Professional	07010001157	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C06076	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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