Organization
TIDEWATER PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE FRIEDMAN LCSW (PRESIDENT, AUTHORIZAED OFFICAL)
(757) 497-3670
Entity
Organization
Contact information
Practice address
260 GRAYSON RD, SUITE 100, VIRGINIA BEACH, VA 23462-4345
(757) 497-3670
(757) 499-1947
Mailing address
260 GRAYSON RD, SUITE 100, VIRGINIA BEACH, VA 23462-4345
(757) 497-3670
(757) 499-1947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
204
VA
104100000X
Social Worker
Primary
2006112732R
VA
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700830742
—
VA
Enumeration date
05/22/2006
Last updated
08/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us