| Purple Service Announcement | |
|
2313 Red Tide Rd Unit 2 Virginia Bch VA 23451-1203 | |
| (910) 703-2848 | |
| Not Available |
| Full Name | Purple Service Announcement |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2313 Red Tide Rd Unit 2, Virginia Bch, Virginia |
| Authorized Official Name and Position | Tanikia Washington (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9107032848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Service Announcement 2313 Red Tide Rd Unit 1 Virginia Beach VA 23451-1203 Ph: (910) 703-2848 | Purple Service Announcement 2313 Red Tide Rd Unit 2 Virginia Bch VA 23451-1203 Ph: (910) 703-2848 |
| NPI Number | 1467341552 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467341552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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