Provider Demographics
NPI:1942447511
Name:CHESSEN & ASSOCIATES
Entity Type:Organization
Organization Name:CHESSEN & ASSOCIATES
Other - Org Name:DOOUGLAS CHESSEN, PC
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-595-7490
Mailing Address - Street 1:12420 WARWICK BLVD BLDG 7
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3001
Mailing Address - Country:US
Mailing Address - Phone:757-595-7490
Mailing Address - Fax:757-595-0649
Practice Address - Street 1:12420 WARWICK BLVD BLDG 7
Practice Address - Street 2:SUITE C
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3001
Practice Address - Country:US
Practice Address - Phone:757-595-7490
Practice Address - Fax:757-595-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000221101YA0400X
VA0701003390101YP2500X
VA0001071668163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty