| Fair Winds Therapy & Consulting Services, Llc | |
|
4007 Long Point Blvd Portsmouth VA 23703 | |
| (808) 825-1650 | |
| (757) 276-6368 |
| Full Name | Fair Winds Therapy & Consulting Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4007 Long Point Blvd, Portsmouth, Virginia |
| Authorized Official Name and Position | Erica Renee Edge (OWNER) |
| Authorized Official Contact | 8088251650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Winds Therapy & Consulting Services, Llc 110 Coliseum Xing # 6068 Hampton VA 23666-5971 Ph: (808) 825-1650 | Fair Winds Therapy & Consulting Services, Llc 4007 Long Point Blvd Portsmouth VA 23703 Ph: (808) 825-1650 |
| NPI Number | 1639969116 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639969116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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