Organization · Type 2 NPI
Shaping Your Future Psychiatry
Mental Health Clinic/Center (Including Community Mental Health Center) · Virginia Beach, VA
NPI number
1679185573
Active
Practice location
3082 Brickhouse Ct Ste B
Virginia Beach, VA 23452-6859
Fax (757) 432-3159
Mailing address
4300 Portsmouth Blvd Unit 9183
Chesapeake, VA 23321-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1679185573
Shaping Your Future Psychiatry's National Provider Identifier is 1679185573, issued on Aug 20, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 6, 2024.