Healthcare Provider Details

I. General information

NPI: 1598602054
Provider Name (Legal Business Name): JOSEPH DAVID DOWDY RIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 INDIAN RIVER RD STE 100
VIRGINIA BEACH VA
23464-5252
US

IV. Provider business mailing address

614 WOODSTOCK RD
VIRGINIA BEACH VA
23464-2018
US

V. Phone/Fax

Practice location:
  • Phone: 757-289-1125
  • Fax:
Mailing address:
  • Phone: 757-289-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: