Organization
WATERSIDE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKA UMEJEI OGBOLU (OWNER)
(757) 737-3134
Entity
Organization
Contact information
Practice address
425 W WASHINGTON ST STE 4, SUFFOLK, VA 23434-5320
(757) 209-4607
(430) 224-0004
Mailing address
721 REDLEAFE CIR, CHESAPEAKE, VA 23320-3226
(757) 209-4607
(757) 300-5724
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
06/18/2025
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