Organization
PSYCHIATRIC SERVICES OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE NEWTON DESHAZO SR. ED.D. (OWNER)
(757) 873-1958
Entity
Organization
Contact information
Practice address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Mailing address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001314
VA
106H00000X
Marriage & Family Therapist
Primary
0717000318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001231
VALUE OPTIONS
VA
01
—
080051
SENTARA
VA
01
—
214658
ANTHEM BC/BS
VA
01
—
239163
MAMSI
VA
Enumeration date
08/12/2006
Last updated
09/11/2025
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