Healthcare Provider Details

I. General information

NPI: 1972678464
Provider Name (Legal Business Name): THE PSYCHOTHERAPY CENTER SOLUTIONS FOR LIVING LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 W 21ST ST 205
NORFOLK VA
23517-2130
US

IV. Provider business mailing address

327 W 21ST ST 205
NORFOLK VA
23517-2130
US

V. Phone/Fax

Practice location:
  • Phone: 757-622-9852
  • Fax: 757-622-4033
Mailing address:
  • Phone: 757-622-9852
  • Fax: 757-622-4033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. MARC D RABINOWITZ
Title or Position: MANAGING PARTNER
Credential: LCSW
Phone: 757-622-9852