Provider Demographics
NPI:1336294479
Name:FIRST COLONIAL PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:FIRST COLONIAL PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-428-7500
Mailing Address - Street 1:921 FIRST COLONIAL RD
Mailing Address - Street 2:SUITE 1711
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3167
Mailing Address - Country:US
Mailing Address - Phone:757-428-7500
Mailing Address - Fax:757-428-7699
Practice Address - Street 1:921 FIRST COLONIAL RD
Practice Address - Street 2:SUITE 1711
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3167
Practice Address - Country:US
Practice Address - Phone:757-428-7500
Practice Address - Fax:757-428-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08927Medicare PIN