Healthcare Provider Details

I. General information

NPI: 1356811459
Provider Name (Legal Business Name): DREHER AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 WARWICK BLVD
NEWPORT NEWS VA
23607-1822
US

IV. Provider business mailing address

6910 WARWICK BLVD
NEWPORT NEWS VA
23607-1822
US

V. Phone/Fax

Practice location:
  • Phone: 757-224-1488
  • Fax: 757-224-1460
Mailing address:
  • Phone: 757-224-1488
  • Fax: 757-224-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SIMONE DREHER
Title or Position: CEO
Credential: MSW, LMHP-R
Phone: 757-224-1488