Organization
TIDEWATER PASTORAL COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN W PHILLIPS LPC (EXECUTIVE DIRECTOR)
(757) 623-2700
Entity
Organization
Contact information
Practice address
7305 HAMPTON BLVD, NORFOLK, VA 23505-2923
(757) 623-2700
(757) 640-1058
Mailing address
7305 HAMPTON BLVD, NORFOLK, VA 23505-2923
(757) 623-2700
(757) 640-1058
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
0701000401
VA
Other
Enumeration date
05/27/2008
Last updated
02/29/2012
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