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Organization

BAY PSYCHIATRIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLENE M. JURON LCSW (PRESIDENT)
(941) 302-5008
Entity
Organization

Contact information

Practice address
923 FIRST COLONIAL RD STE 1821, VIRGINIA BEACH, VA 23454-3182
(757) 425-5010
(757) 425-5011
Mailing address
923 FIRST COLONIAL RD STE 1821, VIRGINIA BEACH, VA 23454-3182
(757) 425-5010
(757) 425-5011

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002059
VA
1041C0700X
Clinical Social Worker
0904004044
VA
1041C0700X
Clinical Social Worker
0904009017
VA
106H00000X
Marriage & Family Therapist
0717000200
VA
2084P0800X
Psychiatry Physician
0101262710
VA
2084P0800X
Psychiatry Physician
Primary
0102203811
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101262710
VA

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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