Provider Demographics
NPI:1972678464
Name:THE PSYCHOTHERAPY CENTER SOLUTIONS FOR LIVING LTD
Entity Type:Organization
Organization Name:THE PSYCHOTHERAPY CENTER SOLUTIONS FOR LIVING LTD
Other - Org Name:THE PSYCHOTHERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:D
Authorized Official - Last Name:RABINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-622-9852
Mailing Address - Street 1:327 W 21ST ST
Mailing Address - Street 2:205
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-2130
Mailing Address - Country:US
Mailing Address - Phone:757-622-9852
Mailing Address - Fax:757-622-4033
Practice Address - Street 1:327 W 21ST ST
Practice Address - Street 2:205
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-2130
Practice Address - Country:US
Practice Address - Phone:757-622-9852
Practice Address - Fax:757-622-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008813T23Medicare ID - Type Unspecified
VA008988T23Medicare ID - Type Unspecified
VA009813T28Medicare ID - Type Unspecified
VA00W091T01Medicare ID - Type Unspecified
VA008918T80Medicare ID - Type Unspecified
VA009139T23Medicare ID - Type Unspecified
VA009811T23Medicare ID - Type Unspecified
VA009136T23Medicare ID - Type Unspecified
VA009814T23Medicare ID - Type Unspecified
VA009812T23Medicare ID - Type Unspecified
VA009138T23Medicare ID - Type Unspecified
VAC09223Medicare PIN
VA009137T23Medicare ID - Type Unspecified