| First Colonial Psychotherapy Services | |
|
921 First Colonial Rd Suite 1711 Virginia Beach VA 23454-3167 | |
| (757) 428-7500 | |
| (757) 428-7699 |
| Full Name | First Colonial Psychotherapy Services |
|---|---|
| Speciality | Counselor |
| Location | 921 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Brittany C Morgan (OFFICE ADM) |
| Authorized Official Contact | 7574287500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Colonial Psychotherapy Services 921 First Colonial Rd Suite 1711 Virginia Beach VA 23454-3167 Ph: (757) 428-7500 | First Colonial Psychotherapy Services 921 First Colonial Rd Suite 1711 Virginia Beach VA 23454-3167 Ph: (757) 428-7500 |
| NPI Number | 1336294479 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 07/18/2013 |
| Medicare PECOS PAC ID | 2264334069 |
|---|---|
| Medicare Enrollment ID | O20040122000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336294479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Charles V Liggio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083799605 PECOS PAC ID: 8123920931 Enrollment ID: I20040122000921 |
| Provider Name | Thomas P Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881629038 PECOS PAC ID: 0345243747 Enrollment ID: I20060823000612 |
| Provider Name | Margaret Ray Lidstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053351387 PECOS PAC ID: 0941477913 Enrollment ID: I20120113000407 |
| Provider Name | Paula Crooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164079935 PECOS PAC ID: 8628300068 Enrollment ID: I20191104002544 |
| Provider Name | Kathy Ann Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104134766 PECOS PAC ID: 0446600357 Enrollment ID: I20231219000408 |
| Provider Name | Megan Virginia Fenton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659919124 PECOS PAC ID: 8224472659 Enrollment ID: I20240214000251 |
| Provider Name | Rebecca Provost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013303205 PECOS PAC ID: 4789028390 Enrollment ID: I20240221003679 |
| Provider Name | Nicole Freda Wynder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245567866 PECOS PAC ID: 1052757101 Enrollment ID: I20240311003785 |
| Provider Name | Robert Nixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790157378 PECOS PAC ID: 6002253408 Enrollment ID: I20240321000106 |
| Provider Name | Sade Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053178806 PECOS PAC ID: 9234577305 Enrollment ID: I20240409002070 |
| Provider Name | Jamie Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871373480 PECOS PAC ID: 6002255411 Enrollment ID: I20240418001558 |
| Provider Name | Sarah Kathleen Wampler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881288124 PECOS PAC ID: 4183151830 Enrollment ID: I20241219002801 |
| Provider Name | Soheila Alizadeh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336862119 PECOS PAC ID: 0547781015 Enrollment ID: I20250313000454 |
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