# WATERSIDE PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1477303790
- **Authorized official:** CHIKA UMEJEI OGBOLU (OWNER)
- **Authorized official phone:** (757) 737-3134

## Contact information

- **Practice address:** 425 W WASHINGTON ST STE 4, SUFFOLK, VA 23434-5320
- **Practice address phone:** (757) 209-4607
- **Practice address fax:** (430) 224-0004
- **Mailing address:** 721 REDLEAFE CIR, CHESAPEAKE, VA 23320-3226
- **Mailing address phone:** (757) 209-4607
- **Mailing address fax:** (757) 300-5724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 06/18/2025