Organization
TIDEWATER COUNSELING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNEKA BARTLETT BS, MPA, QMHP-A, CEO (CEO)
(757) 753-6399
Entity
Organization
Contact information
Practice address
12695 MCMANUS BLVD BLDG 7B, NEWPORT NEWS, VA 23602-4476
(757) 753-6399
(757) 527-4493
Mailing address
12695 MCMANUS BLVD BLDG 7B, NEWPORT NEWS, VA 23602-4476
(757) 753-6399
(757) 527-4493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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