TIDEWATER PSYCHOTHERAPY SERVICES NPI 1164536496

NPI Information

TIDEWATER PSYCHOTHERAPY SERVICES is an addiction (substance use disorder) counselor in Virginia Beach, VA. TIDEWATER PSYCHOTHERAPY SERVICES NPI is 1164536496. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Horizons.

The provider's business location address is:

260 GRAYSON RD STE 100
VIRGINIA BEACH, VA
ZIP 23462-345
Phone: (757) 497-3670
Fax: (757) 499-1947

The provider's authorized official is Louise B Friedman .
The authorized official title is President and has the following contact phone number (757) 497-3670.

The CLIA number assigned to this NPI record is 49D1011231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/21/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.