Western Tidewater Community Services Board - Mental Health Clinic in Suffolk, VA

Western Tidewater Community Services Board is a mental health clinic (Clinic/center - Adolescent And Children Mental Health) in Suffolk, Virginia. The current practice location for Western Tidewater Community Services Board is 5268 Godwin Blvd, Suffolk, Virginia. For appointments, you can reach them via phone at (757) 255-7100. The mailing address for Western Tidewater Community Services Board is 5268 Godwin Blvd, Suffolk, Virginia and phone number is (757) 255-7100.

Western Tidewater Community Services Board is licensed to practice in Virginia (license number 0904002622) and its NPI number is 1164416533. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (757) 255-7100.

Contact Information

Western Tidewater Community Services Board
5268 Godwin Blvd
Suffolk
VA 23434-8135
(757) 255-7100
Not Available

Mental Health Clinic Profile

Full NameWestern Tidewater Community Services Board
SpecialityClinic/center - Adolescent And Children Mental Health
Location5268 Godwin Blvd, Suffolk, Virginia
Authorized Official Name and PositionEmily Bowe Hughes (CLINICIAN)
Authorized Official Contact7572557113
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Western Tidewater Community Services Board
5268 Godwin Blvd
Suffolk
VA 23434-8135

Ph: (757) 255-7100
Western Tidewater Community Services Board
5268 Godwin Blvd
Suffolk
VA 23434-8135

Ph: (757) 255-7100

NPI Details:

NPI Number1164416533
Provider Enumeration Date08/31/2005
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Western Tidewater Community Services Board such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164416533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0855XClinic/center - Adolescent And Children Mental Health 0904002622 (Virginia)Primary

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