NPI
Western Tidewater Community Mental
Doing business as Western Tidewater Community Services Board. Phone (757) 966-2805 · Fax (757) 673-2586 · NPI 1689615296
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-06-08
- Last updated
- 2026-01-23
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Specialties
- 261QM0801XClinic/Center, Mental Health (Including Community Mental Health Center) · Primary
- 333300000XEmergency Response System Companies
- 251S00000XCommunity/Behavioral Health
- 253Z00000XIn Home Supportive Care
- 171WH0202XContractor, Home Modifications
- 323P00000XPsychiatric Residential Treatment Facility
- 251B00000XCase Management
- 251J00000XNursing Care
- 315P00000XIntermediate Care Facility, Intellectual Disabilities
- 163WC0400XRegistered Nurse, Case Management
- 343900000XNon-emergency Medical Transport (VAN)
- 225CA2400XRehabilitation Counselor, Assistive Technology Practitioner
- 251C00000XDay Training, Developmentally Disabled Services
Licenses
- License VA
- 084-16-001
- License VA
- Number not in the file
Location
- Practice location
- 7025 Harbour View Blvd Ste 119
- City
- Suffolk VA
- Postal code
- 23435-2762
- Phone
- (757) 966-2805
- Fax
- (757) 673-2586
Organization contact
- Name
- Marion Young
- Title
- Reimbursement Supervisor
- Phone
- (757) 687-9087
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinic/Center, Mental Health providers in Suffolk, VA. 8 with this primary taxonomy in the public file.
Other NPIs in Suffolk, VA. 2,273 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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