Organization Name: | MID-ATLANTIC WOMEN'S CARE, PLC |
NPI Number: | 1609110774 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REX G WATERBURY (PHYSICIAN) |
Mailing Address: | 828 Healthy Way Suite 330 Virginia Beach |
State: | VA US |
Postal Code: | 234627958 |
Phone Number: | 7574613890 |
Fax Number: | 7574670301 |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1701004447 |
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 |