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Contact Information

CHARIS MENTAL HEALTH PLUS INTEGRATIVE CARE
2470 PRUDEN BLVD
SUFFOLK, VA23434-4206
 Phone: 757-922-8048
 Fax: 757-922-8049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for CHARIS MENTAL HEALTH PLUS INTEGRATIVE CARE

NPI # 1558138453
LBN Legal business name CHARIS MENTAL HEALTH PLUS INTEGRATIVE CARE
Authorized official LA KEISHA KENETI - (TRUSTEE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2023
Last updated 12/20/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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