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Bright Shadows Telepsychiatry Services, Pllc
Psychiatric/Mental Health Nurse Practitioner in Hampton, Virginia
NPI 1710743521

Bright Shadows Telepsychiatry Services, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Hampton, VA and is specialized in Psychiatric/Mental Health. Bright Shadows Telepsychiatry Services, Pllc practices in Hampton, VA. The NPI Number for Bright Shadows Telepsychiatry Services, Pllc is 1710743521 and holds a License No. (Virginia).

The current practice location address for Bright Shadows Telepsychiatry Services, Pllc is 4410 Claiborne Sq E, Hampton, VA and can be reached out via phone at 252-751-5103 and via fax at 252-751-5127.

Location: 4410 Claiborne Sq E, Hampton, VA, 23670-0244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710743521
Provider Name
Bright Shadows Telepsychiatry Services, Pllc
Credential
Provider Entity Type
Organization
Address
4410 Claiborne Sq E, Hampton, VA, 23670-0244
Phone Number
252-751-5103
Fax Number
252-751-5127
Provider Enumeration Date
02/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4410 Claiborne Sq E
City
Hampton
State
Virginia
Zip
23666-2071
Phone Number
252-751-5103
Fax Number
252-751-5127
person
Provider Business Mailing Address Details
Address
4410 Claiborne Sq E
City
Hampton
State
Virginia
Zip
23666-2071
Phone Number
252-751-5103
Fax Number
252-751-5127
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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