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Contact Information

ASSOCIATED COUNSELORS OF TIDEWATER
287 INDEPENDENCE BLVD STE 219
VIRGINIA BEACH, VA23462-2956
 Phone: 757-490-6960
 Fax: 757-490-6995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for ASSOCIATED COUNSELORS OF TIDEWATER

NPI # 1528087616
LBN Legal business name ASSOCIATED COUNSELORS OF TIDEWATER
Authorized official CHRISTIANNE HARMON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 07/23/2014 - About 12 years ago
Identifiers
VA License # 07010001157
VA License # 0701002379
VA License # 0717000080
VA License # 0717000866
VA License # 0904002454
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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