| Tynes Mental Health Agency Llc | |
|
5215 Colley Ave Ste 138 Norfolk VA 23508-2172 | |
| (757) 321-0463 | |
| (757) 257-0082 |
| Full Name | Tynes Mental Health Agency Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5215 Colley Ave Ste 138, Norfolk, Virginia |
| Authorized Official Name and Position | Lakesha Williams (OWNER) |
| Authorized Official Contact | 7577186361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tynes Mental Health Agency Llc 5215 Colley Ave Ste 136 Norfolk VA 23508-2172 Ph: (757) 321-0463 | Tynes Mental Health Agency Llc 5215 Colley Ave Ste 138 Norfolk VA 23508-2172 Ph: (757) 321-0463 |
| NPI Number | 1063119733 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063119733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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