Provider Demographics
NPI:1841452794
Name:NEW DIRECTIONPSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:NEW DIRECTIONPSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-651-9085
Mailing Address - Street 1:1480 OAK BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-8054
Mailing Address - Country:US
Mailing Address - Phone:804-651-9085
Mailing Address - Fax:
Practice Address - Street 1:1480 OAK BRIDGE CT
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-8054
Practice Address - Country:US
Practice Address - Phone:804-651-9085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty