| Waves Psychotherapy Services Pc | |
|
923 First Colonial Rd Ste 1817 Virginia Beach VA 23454-3182 | |
| (757) 288-1611 | |
| Not Available |
| Full Name | Waves Psychotherapy Services Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 923 First Colonial Rd Ste 1817, Virginia Beach, Virginia |
| Authorized Official Name and Position | Heather Boynton (PRESIDENT) |
| Authorized Official Contact | 7572881611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Psychotherapy Services Pc 727 Delaware Ave Virginia Beach VA 23451-4624 Ph: (757) 288-1611 | Waves Psychotherapy Services Pc 923 First Colonial Rd Ste 1817 Virginia Beach VA 23454-3182 Ph: (757) 288-1611 |
| NPI Number | 1265859946 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265859946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004822 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904004844 (Virginia) | Primary |
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