Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Integrative Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1972387892

Modern Integrative Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Chester, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13000 Rivers Bend Blvd
Chester, VA 23836-8632
Phone: (804) 234-4893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1972387892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Petitecha Wimbush — Psychiatric Nurse Practitioner/Ceo · (804) 234-4893
NPI enumeratedAugust 22, 2023
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address13000 Rivers Bend Blvd, Chester, VA 23836-8632

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