NPI 1740427418 · live from the CMS NPI Registry
Chesapeake Community Services Board
Counselor, Professional in Chesapeake, VA. National Provider Identifier 1740427418, active.
NPI record
| NPI | 1740427418 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 224 Great Bridge Blvd, Chesapeake, VA 23320 |
| Practice phone | 757-547-9334 |
| Enumerated | January 16, 2009 |
| Last updated | January 16, 2009 |
| Authorized official | Tamara Thivierge, Reimbursement Supervisor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001184 (VA) |
| Counselor, Professional primary | 101YP2500X | 0701004407 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.