Healthcare Provider Details
I. General information
NPI: 1619092319
Provider Name (Legal Business Name): FINNEY PSYCHOTHERAPY ASSOCIATES IOP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 N CENTER DR SUITE 141
NORFOLK VA
23502-4007
US
IV. Provider business mailing address
420 N CENTER DR SUITE 141
NORFOLK VA
23502-4007
US
V. Phone/Fax
- Phone: 757-466-0700
- Fax: 757-461-4826
- Phone: 757-466-0700
- Fax: 757-461-4826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SHERRILL
G
MARSHALL
Title or Position: MANAGING PARTNER
Credential: NP, RNCS
Phone: 757-466-0700