DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PSYCHOTHERAPY RESOURCES OF NORFOLK LTD

MEDICARE: PSYCHOTHERAPY RESOURCES OF NORFOLK LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4274VA
2103TC0700XClinical Psychologist4274VA
31041C0700XClinical Social Worker4274VA
41041C0700XClinical Social Worker0904000234VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1314544OTHERVATRICARE
2098384OTHERVABCBS
3049956OTHERVABCBS

General Provider Information

NPI Number : 1316947328
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHOTHERAPY RESOURCES OF NORFOLK LTD
Provider Business Mailing Address
First Line : 1709 COLLEY AVE
Second Line : SUITE 312
City : NORFOLK
State : VA
Zip : 23517-1675
Country : US
Telephone Number : 757-640-0400
Fax Number : 757-640-0497
Provider Business Practice Location Address
First Line : 1709 COLLEY AVE
Second Line : SUITE 312
City : NORFOLK
State : VA
Zip : 23517-1675
Country : US
Telephone Number : 757-640-0400
Fax Number : 757-640-0497
Authorized Official
Title or Position : PRESIDENT
Name : BETTY ALEXANDRA KEDROCK
Credential : LCSW
Telephone Number : 757-640-0400
Provider Enumeration Date : 08/01/2005
Last Update Date : 09/11/2025

Similar Medicare Providers

1447253695 — DR. IRA HAYM PEARLMAN PH.D.
Practice Location Address:
1709 COLLEY AVE , STE 202
NORFOLK, VA
23517-1675
Practice Phone: 757-625-5623
Practice Fax: 757-627-1557
1104826635 — DR. PAUL F DELL PHD
Practice Location Address:
1709 COLLEY AVE , SUITE 312
NORFOLK, VA
23517-1675
Practice Phone: 757-640-0400
Practice Fax: 757-640-0497
1275533796 — BETTY ALEXANDRA KEDROCK LCSW
Practice Location Address:
1709 COLLEY AVE , SUITE 312
NORFOLK, VA
23517-1675
Practice Phone: 757-640-0400
Practice Fax: 757-640-0497
1730189051 — ELIZABETH HAMNER GAY LCSW
Practice Location Address:
1709 COLLEY AVE , SUITE 312
NORFOLK, VA
23517-1675
Practice Phone: 757-640-0400
Practice Fax: 757-640-0497
1598742322 — JANE C NOHAVA LCSW
Practice Location Address:
1709 COLLEY AVE , SUITE 312
NORFOLK, VA
23517-1675
Practice Phone: 757-640-0400
Practice Fax: 757-640-0497
1861408973 — DR. EMILY BAKER BUDLONG PSY.D.
Practice Location Address:
1709 COLLEY AVE , SUITE 306
NORFOLK, VA
23517-1675
Practice Phone: 757-351-6220
Practice Fax: 757-351-6284

Directions to “PSYCHOTHERAPY RESOURCES OF NORFOLK LTD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.