Organization
SOAR BEHAVIORAL HEALTH, LLC
Active
Organization
SOAR BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN W AHAVA PH.D. (PSYCHOLOGIST/SOLE MEMBER)
(478) 595-3400
Entity
Organization
Contact information
Practice address
700 FLUME RUN APT 102, NEWPORT NEWS, VA 23602-8900
(478) 595-3400
Mailing address
700 FLUME RUN APT 102, NEWPORT NEWS, VA 23602-8900
(478) 595-3400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up