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WESTERN TIDEWATER COMMUNITY SERVICES BOARD
NPI 1245082270
Clinic/Center - Primary Care in Suffolk, VA

Active since April 03, 2024
7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA 23435(757) 966-2805(757) 673-2586 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Tidewater Community Services Board NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN TIDEWATER COMMUNITY SERVICES BOARD (NPI 1245082270) is a healthcare organization registered as a primary care in Suffolk, Virginia and active in the NPI registry since April 2024. The organization lists Demetrios Nicholas Peratsakis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245082270
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWESTERN TIDEWATER COMMUNITY SERVICES BOARD
Location Address7025 HARBOUR VIEW BLVD STE 119Suffolk, VA 23435-2762
Mailing Address7025 Harbour View Blvd Ste 119Suffolk, VA 23435-2762 · (757) 966-2805 · Fax (757) 673-2586
Phone(757) 966-2805
Fax(757) 673-2586
Organization SubpartNo
Authorized OfficialDemetrios Nicholas PeratsakisExecutive Director · (757) 377-2397
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1245082270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
7025 HARBOUR VIEW BLVD STE 119, Suffolk, VA 23435
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE BROWN KASHAIJA LCSW
Social Worker (Clinical)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 966-2805
MRS. ASHANTI COURTNEY CONNER LPC
Counselor (Professional)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 274-2836
MR. NATHAN JOHN LEOPARD LPC
Counselor (Professional)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 509-3306
BRIDGET MARNIEN RICHARDSON MA
Counselor (Mental Health)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 403-6232
YVONNE JUDGE LCSW
Social Worker (Clinical)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 758-5106
SAMANTHA RHIANNON LETO
Social Worker (Clinical)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 641-2525
TAMAR SAMARIA DANDRIDGE LPC
Counselor (Professional)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 945-1193
MRS. RACHEL NICOLE TOWNES MA, LPC
Counselor (Mental Health)
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435
Suffolk City (757) 966-3805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Tidewater Community Services Board's NPI number?

The NPI number for Western Tidewater Community Services Board is 1245082270. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Western Tidewater Community Services Board located?

Western Tidewater Community Services Board is located at 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435. The listed phone number is (757) 966-2805.

What is Western Tidewater Community Services Board's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Western Tidewater Community Services Board was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.