Organization
EAST COAST TELEPSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY R. PHARR APRN (DIRECTOR, NP)
(843) 299-2033
Entity
Organization
Contact information
Practice address
268 NORTHUMBERLAND HWY, CALLAO, VA 22435-2222
(804) 246-4942
(843) 299-2474
Mailing address
861 LAKE RD, LOTTSBURG, VA 22511-2667
(804) 246-4942
(843) 299-2474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
01/04/2024
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