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Organization
MENTAL HEALTH MATTERS INC
Active
Organization
MENTAL HEALTH MATTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY N E SULLIVAN LCSW (EXECUTIVE DIRECTOR)
(757) 224-5091
Entity
Organization
Contact information
Practice address
2021A CUNNINGHAM DR, STE 4, HAMPTON, VA 23666
(757) 224-5091
(757) 224-5193
Mailing address
2021A CUNNINGHAM DR, STE 4, HAMPTON, VA 23666
(757) 224-5091
(757) 224-5193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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