Organization
ICT SERVICES, INC.
Active
Other names
Commonwealth ICT Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN BRIANNA KETNER-WHITE (CEO, PRESIDENT)
(757) 351-0057
Entity
Organization
Contact information
Practice address
6465 COLLEGE PARK SQ STE 300, VA BEACH, VA 23464-3622
(757) 351-0057
(757) 351-6890
Mailing address
6465 COLLEGE PARK SQ STE 300, VA BEACH, VA 23464-3622
(757) 351-0005
(757) 351-6890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16186
—
VA
05
—
30017483470001
—
VA
05
—
30017483470002
—
VA
Enumeration date
11/10/2015
Last updated
09/29/2025
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