Healthcare Provider Details

I. General information

NPI: 1215845250
Provider Name (Legal Business Name): IRWIN MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WYTHE CREEK RD STE 200
POQUOSON VA
23662-1587
US

IV. Provider business mailing address

501 WYTHE CREEK RD STE 200
POQUOSON VA
23662-1587
US

V. Phone/Fax

Practice location:
  • Phone: 757-506-5468
  • Fax: 757-720-3492
Mailing address:
  • Phone: 757-506-5468
  • Fax: 757-720-3492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MELISSA IRWIN
Title or Position: PMHNP
Credential: PMHNP
Phone: 757-506-5468