Organization
SUPREME HEALING PSYCHOLOGICAL SERVICES
Active
Other names
Supreme Healing Psychological Services, PLLC.
Organization subpart
No
Provider details
NPI number
Authorized official
CHIQUITA COLLINS (PROVIDER)
(757) 933-5386
Entity
Organization
Contact information
Practice address
825 DILIGENCE DR STE 227, NEWPORT NEWS, VA 23606-4272
(757) 933-5386
(757) 210-4197
Mailing address
825 DILIGENCE DR STE 227, NEWPORT NEWS, VA 23606-4272
(757) 933-5386
(757) 210-4197
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467020339
—
VA
Enumeration date
12/09/2021
Last updated
07/08/2024
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