Organization
SEASIDE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN A BAXTER CPC (PRACTICE ADMINISTRATOR)
(757) 648-8605
Entity
Organization
Contact information
Practice address
1072 LASKIN RD STE 104, VIRGINIA BEACH, VA 23451-6387
(757) 648-8605
(757) 648-1363
Mailing address
1072 LASKIN RD STE 104, VIRGINIA BEACH, VA 23451-6387
(757) 648-8605
(757) 648-1363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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