# VIRTUAL PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114817004
- **Authorized official:** MRS. LIUDMILA CARDOSO APRN (PMHNP)
- **Authorized official phone:** (774) 240-5585

## Contact information

- **Practice address:** 9 PAULINE STREET, BROCKTON, MA 02302
- **Practice address phone:** (774) 344-5914
- **Practice address fax:** (508) 213-3628
- **Mailing address:** 9 PAULINE ST, BROCKTON, MA 02302-3800
- **Mailing address phone:** (774) 240-5585
- **Mailing address fax:** (508) 213-3628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2025
- **Last updated:** 07/03/2025