Healthcare Provider Details

I. General information

NPI: 1699424291
Provider Name (Legal Business Name): AFFIRMATIONS ASSESSMENT AND PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COMMONWEALTH PL # 2072
VIRGINIA BEACH VA
23464-4517
US

IV. Provider business mailing address

900 COMMONWEALTH PL # 2072
VIRGINIA BEACH VA
23464-4517
US

V. Phone/Fax

Practice location:
  • Phone: 757-809-6078
  • Fax: 757-282-2408
Mailing address:
  • Phone: 757-809-6078
  • Fax: 757-282-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. TRANESE MORGAN
Title or Position: OWNER/OPERATOR
Credential: PSYD, LCP
Phone: 757-809-6078