| Tidewater Counseling Group, Llc | |
|
12695 Mcmanus Blvd Bldg 7b Newport News VA 23602-4476 | |
| (757) 753-6399 | |
| (757) 527-4493 |
| Full Name | Tidewater Counseling Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12695 Mcmanus Blvd Bldg 7b, Newport News, Virginia |
| Authorized Official Name and Position | Nneka Bartlett (CEO) |
| Authorized Official Contact | 7577536399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Counseling Group, Llc 12695 Mcmanus Blvd Bldg 7b Newport News VA 23602-4476 Ph: (757) 753-6399 | Tidewater Counseling Group, Llc 12695 Mcmanus Blvd Bldg 7b Newport News VA 23602-4476 Ph: (757) 753-6399 |
| NPI Number | 1093223968 |
|---|---|
| Provider Enumeration Date | 01/13/2018 |
| Last Update Date | 01/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093223968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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