Provider Demographics
NPI:1508223595
Name:CHRISTIAN PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, PHD
Authorized Official - Phone:757-490-0377
Mailing Address - Street 1:11838 ROCK LANDING DR STE 145
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4291
Mailing Address - Country:US
Mailing Address - Phone:757-873-0735
Mailing Address - Fax:757-873-0148
Practice Address - Street 1:11838 ROCK LANDING DR STE 145
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4291
Practice Address - Country:US
Practice Address - Phone:757-873-0735
Practice Address - Fax:757-873-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006451251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health