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General NPI Number Information
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NPI Number | 1417588815
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Entity Type | Organization
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Legal Business Name | TILT MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 3620 CHASE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6805
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Country | US
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Telephone | 757-701-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 CHASE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6805
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Country | US
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Telephone | 757-701-9025
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PSYCHOLOGY
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Name | DR. BRITTANY L NETTINGHAM
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Credential | LCP, LPC, LSATP
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Telephone | 757-701-9025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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