Organization
VIRTUAL PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIUDMILA CARDOSO APRN (PMHNP)
(774) 240-5585
Entity
Organization
Contact information
Practice address
9 PAULINE STREET, BROCKTON, MA 02302
(774) 344-5914
(508) 213-3628
Mailing address
9 PAULINE ST, BROCKTON, MA 02302-3800
(774) 240-5585
(508) 213-3628
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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