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

Western Tidewater Community Mental

Organization Case Management Registered Nurse · NPI 1689615296

Western Tidewater Community Mental is a Case Management Registered Nurse in Suffolk, Virginia. Works from 11 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
Specialties on file
13
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Practice location Address checks out

7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Phone: (757) 966-2805
Fax: (757) 673-2586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 200 E 2nd Ave, Franklin, VA 23851-1506 — (757) 562-2208
  • 1428 Big Bethel Rd, Hampton, VA 23666-1409 — (757) 966-2805
  • 1913 S Church St Ste 2, Smithfield, VA 23430-1852 — (757) 357-7458
  • 1000 Commercial Ln, Suffolk, VA 23434-8148 — (757) 942-1069
  • 805 Jefferson St, Suffolk, VA 23434-4068 — (757) 966-2805
  • 641 Adkins Cir, Suffolk, VA 23434-3301 — (757) 966-2805
  • 130 Suburban Dr, Suffolk, VA 23434-2625 — (757) 966-2805
  • 135 S Saratoga St, Suffolk, VA 23434-5322 — (757) 935-5160
  • 5268 Godwin Blvd, Suffolk, VA 23434-8114 — (757) 266-7131
  • 16022 Everets Rd, Windsor, VA 23487-6054 — (757) 966-2805

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Case Management Registered Nurse Taxonomy 163WC0400X
Home Modifications Contractor Taxonomy 171WH0202X
Assistive Technology Practitioner Rehabilitation Counselor Taxonomy 225CA2400X
Case Management Agency Taxonomy 251B00000X · Licence 084-16-001 (VA)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Nursing Care Agency Taxonomy 251J00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X
Emergency Response System Companies Taxonomy 333300000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X (VA)

Record details

NPI number1689615296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marion Young — Reimbursement Supervisor · (757) 687-9087
Other names Western Tidewater Community Services Board
NPI enumeratedJune 8, 2006
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address7025 Harbour View Blvd Ste 119, Suffolk, VA 23435-2762

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