NPI 1528087616 · live from the CMS NPI Registry
Associated Counselors Of Tidewater
Counselor, Professional in Virginia Beach, VA. National Provider Identifier 1528087616, active.
NPI record
| NPI | 1528087616 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 287 Independence Blvd Ste 219, Virginia Beach, VA 23462 |
| Practice phone | 757-490-6960 |
| Enumerated | July 19, 2006 |
| Last updated | July 23, 2014 |
| Authorized official | Christianne Harmon, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 0904002454 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717000866 (VA) |
| Counselor, Professional | 101YP2500X | 0701002379 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717000080 (VA) |
| Counselor, Professional primary | 101YP2500X | 07010001157 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.