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Contact Information

WHITE CLOUD THERAPEUTIC SERVICES, LLC
324 MONTICELLO AVE
WILLIAMSBURG, VA23185-2834
 Phone: 757-503-7917
 Fax: 855-823-3243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for WHITE CLOUD THERAPEUTIC SERVICES LLC · (Female)

NPI Number 1720551963
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2019
Last updated 04/30/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 601426497
  • VA Other 0812081 OPTIMA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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