| Psychiatric Services Of Virginia | |
|
708 Mobjack Pl Newport News VA 23606-1957 | |
| (757) 873-1958 | |
| (757) 873-2143 |
| Full Name | Psychiatric Services Of Virginia |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 708 Mobjack Pl, Newport News, Virginia |
| Authorized Official Name and Position | George Newton Deshazo (OWNER) |
| Authorized Official Contact | 7578731958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services Of Virginia 708 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 873-1958 | Psychiatric Services Of Virginia 708 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 873-1958 |
| NPI Number | 1003828799 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003828799 | NPI | - | NPPES |
| 214658 | Other | VA | ANTHEM BC/BS |
| 001231 | Other | VA | VALUE OPTIONS |
| 239163 | Other | VA | MAMSI |
| 080051 | Other | VA | SENTARA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701001314 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0717000318 (Virginia) | Primary |
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