SHAPING YOUR FUTURE PSYCHIATRY NPI 1679185573

NPI Information

SHAPING YOUR FUTURE PSYCHIATRY is a mental health (including community mental health center) clinic center in Virginia Beach, VA. SHAPING YOUR FUTURE PSYCHIATRY NPI is 1679185573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5705 LYNNHAVEN PKWY STE 104
VIRGINIA BEACH, VA
ZIP 23464-157
Phone: (757) 528-2850
Fax: (757) 432-3159

The provider's authorized official is Trisha Nardia Parker .
The authorized official title is Ceo and has the following contact phone number (757) 528-2850.

The CLIA number assigned to this NPI record is 49D2206762 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2020 and was last updated on 9/6/2023.

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:

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