Provider Demographics
NPI:1760792832
Name:MHP PLUS
Entity Type:Organization
Organization Name:MHP PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIR.OF CLINICAL OPERATIO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SPLETTSTOESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-836-5276
Mailing Address - Street 1:207 POINTER CIR APT 1
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6929
Mailing Address - Country:US
Mailing Address - Phone:804-929-1301
Mailing Address - Fax:
Practice Address - Street 1:207 POINTER CIR APT 1
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6929
Practice Address - Country:US
Practice Address - Phone:804-929-1301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 101YP2500X
VA09040068851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty