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Organization
NORTH SUFFOLK PSYCHIATRY
Active
Organization
NORTH SUFFOLK PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATLYN BROOKE TILLETT MSN, APRN, PMHNP-BC (MANAGING MEMBER)
(757) 758-6001
Entity
Organization
Contact information
Practice address
3897 BRIDGE RD STE 104B, SUFFOLK, VA 23435-1911
(757) 758-6001
Mailing address
3897 BRIDGE RD STE 104, SUFFOLK, VA 23435-1911
(757) 758-6001
(757) 758-6844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
11/17/2023
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