| Tidewater Mental Health, Llc | |
|
1385 Fordham Dr Ste 105-244 Virginia Beach VA 23464-5345 | |
| (757) 493-1382 | |
| Not Available |
| Full Name | Tidewater Mental Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1385 Fordham Dr Ste 105-244, Virginia Beach, Virginia |
| Authorized Official Name and Position | Christopher Mcdonald (CEO) |
| Authorized Official Contact | 7574931382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Mental Health, Llc 1385 Fordham Dr Ste 105-244 Virginia Beach VA 23464-5345 Ph: () - | Tidewater Mental Health, Llc 1385 Fordham Dr Ste 105-244 Virginia Beach VA 23464-5345 Ph: (757) 493-1382 |
| NPI Number | 1912749102 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912749102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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