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NPI Code Detail

MEDICARE: FIRST COLONIAL PSYCHOTHERAPY SERVICES

MEDICARE: FIRST COLONIAL PSYCHOTHERAPY SERVICES
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336294479
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST COLONIAL PSYCHOTHERAPY SERVICES
Provider Business Mailing Address
First Line : 921 FIRST COLONIAL RD
Second Line : SUITE 1711
City : VIRGINIA BEACH
State : VA
Zip : 23454-3167
Country : US
Telephone Number : 757-428-7500
Fax Number : 757-428-7699
Provider Business Practice Location Address
First Line : 921 FIRST COLONIAL RD
Second Line : SUITE 1711
City : VIRGINIA BEACH
State : VA
Zip : 23454-3167
Country : US
Telephone Number : 757-428-7500
Fax Number : 757-428-7699
Authorized Official
Title or Position : OFFICE ADM
Name : MRS. BRITTANY C MORGAN
Credential :
Telephone Number : 757-428-7500
Provider Enumeration Date : 01/25/2007
Last Update Date : 07/18/2013

Similar Medicare Providers

1922018621 — MR. BRUCE B SHELTON LCSW, CSAC
Practice Location Address:
921 FIRST COLONIAL RD , SUITE 1711
VIRGINIA BEACH, VA
23454-3167
Practice Phone: 757-428-7500
Practice Fax: 757-428-7699
1295810844 — MRS. AMY H DRESCHER LCSW
Practice Location Address:
921 FIRST COLONIAL RD STE 1711
VIRGINIA BEACH, VA
23454-3167
Practice Phone: 757-428-7500
Practice Fax: 757-428-7699
1578648168 — SUSAN A DEMPSEY LCSW
Practice Location Address:
921 FIRST COLONIAL RD STE 1711
VIRGINIA BEACH, VA
23454-3167
Practice Phone: 757-428-7500
Practice Fax: 757-428-7699
1194800771 — SHARON J WICKHAM LCSW
Practice Location Address:
921 FIRST COLONIAL RD STE 1711
VIRGINIA BEACH, VA
23454-3167
Practice Phone: 757-428-7500
Practice Fax: 757-428-7699
1639382674 — HEATHER V KIGHT LCSW
Practice Location Address:
921 FIRST COLONIAL RD STE 1707
VIRGINIA BEACH, VA
23454-3167
Practice Phone: 757-685-4453
Practice Fax: 757-512-5714
1336311265 — LAURA STOWE MALVEY MSW
Practice Location Address:
921 FIRST COLONIAL RD STE 1707
VIRGINIA BEACH, VA
23454-3167
Practice Phone: 757-685-4453
Practice Fax: 757-512-5714

Directions to “FIRST COLONIAL PSYCHOTHERAPY SERVICES ” Practice Location

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