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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

NPI Number 1720551963
LBN Legal business name WHITE CLOUD THERAPEUTIC SERVICES, LLC
Authorized official JOSEPH GARCIA - (CLINICAL PSYCHOLOGIST/OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/10/2019
Last updated 04/30/2023 - About 3 years ago
Identifiers
VA Medicaid 601426497
VA Other 0812081 OPTIMA
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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