Healthcare Provider Details

I. General information

NPI: 1912822396
Provider Name (Legal Business Name): BLUE CURRENT PSYCHIATRY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14880 FOREST RD
FOREST VA
24551-5008
US

IV. Provider business mailing address

14880 FOREST RD
FOREST VA
24551-5008
US

V. Phone/Fax

Practice location:
  • Phone: 434-423-4283
  • Fax:
Mailing address:
  • Phone: 434-423-4283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HEIDI COOK
Title or Position: OWNER/PMHNP
Credential: PMHNP-BC
Phone: 434-423-4283