# BROOKSIDE PSYCHIATRIC SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1841930328
- **Authorized official:** DR. OLIVIA REICHENBACKER DNP, PMHNP-BC (OWNER, NURSE PRACTITIONER)
- **Authorized official phone:** (319) 359-3810

## Contact information

- **Practice address:** 2624 SOUTHERN BLVD STE 102, VIRGINIA BEACH, VA 23452-7433
- **Practice address phone:** (757) 453-1256
- **Practice address fax:** (319) 359-3813
- **Mailing address:** 2624 SOUTHERN BLVD STE 102, VIRGINIA BEACH, VA 23452-7433
- **Mailing address phone:** (757) 453-1256
- **Mailing address fax:** (319) 359-3813

## 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:** 03/31/2022
- **Last updated:** 02/07/2024