Provider Demographics
NPI:1104358167
Name:CASH, PATRICK (QMHP CSAC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:CASH
Suffix:
Gender:M
Credentials:QMHP CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 SIR TIMOTHY DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-4626
Mailing Address - Country:US
Mailing Address - Phone:757-735-8934
Mailing Address - Fax:
Practice Address - Street 1:1041 SIR TIMOTHY DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4626
Practice Address - Country:US
Practice Address - Phone:757-735-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710103065101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)