| Organization Name: | INDEPENDENCE THERAPY CENTER P C |
| NPI Number: | 1497853527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARANJIT P SINGH (PRESIDENT) |
| Mailing Address: | 700 Independence Cir Suite 3d Virginia Beach |
| State: | VA US |
| Postal Code: | 234556405 |
| Phone Number: | 7574738533 |
| Fax Number: | 7574560616 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | AS1394763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |