TIDEWATER INSTITUTE OF NLP NPI 1528178621

NPI Information

NPI: 1528178621
Provider Name: TIDEWATER INSTITUTE OF NLP

Former Legal Business Name: PRIVATE PRACTICE OF PAMELA JO KAYANAN

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
11747 JEFFERSON AVE
SUITE 6D
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 643-8894
Get Directions

TIDEWATER INSTITUTE OF NLP is a professional counselor in Newport News, VA. TIDEWATER INSTITUTE OF NLP NPI is 1528178621. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Private Practice Of Pamela Jo Kayanan.

The provider's business location address is:

11747 JEFFERSON AVE
SUITE 6D
NEWPORT NEWS, VA
ZIP 23606-998
Phone: (757) 643-8894
Fax: (757) 643-8914

The provider's authorized official is Pamela Jo Kayanan .
The authorized official title is President and has the following contact phone number (757) 643-8894.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0718000195	VIRGINIA	No
2	106H00000X	Marriage & Family Therapist		0717001073	VIRGINIA	No
3	101YP2500X	Counselor	Professional	0701003183	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2577110	OTHER	VIRGINIA	CAQH
2	440869	OTHER	VIRGINIA	ANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »