INDEPENDENCE CHILD THERAPY SERVICES LLC
NPI 1417232802
Psychologist - Clinical in Virginia Beach, VA

Q: What is Independence Child Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 17, 2011

4807A LAUDERDALE AVE, VIRGINIA BEACH, VA 23455(757) 460-2057(757) 963-9020 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Independence Child Therapy Services Llc NPPES

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

INDEPENDENCE CHILD THERAPY SERVICES LLC (NPI 1417232802) is a healthcare organization registered as a clinical in Virginia Beach, Virginia and active in the NPI registry since October 2011. The organization lists Linda Bourdon, Director, as its authorized official.

NPPES Registry Identity

NPI1417232802

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameINDEPENDENCE CHILD THERAPY SERVICES LLC

Location Address4807A LAUDERDALE AVEVirginia Beach, VA 23455-1364

Mailing AddressPo Box 55145Virginia Beach, VA 23471-5145 · (757) 460-2057 · Fax (757) 963-9020

Phone(757) 460-2057

Fax(757) 963-9020

Organization SubpartNo

Authorized OfficialLinda BourdonDirector · (757) 460-2057

Enumeration DateOctober 17, 2011

✔ NPI 1417232802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810004468

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4807A LAUDERDALE AVE, Virginia Beach, VA 23455

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Independence Child Therapy Services LLC's NPI number?

The NPI number for Independence Child Therapy Services LLC is 1417232802. It was assigned to this organization in the NPPES registry on October 17, 2011.

Where is Independence Child Therapy Services LLC located?

Independence Child Therapy Services LLC is located at 4807A Lauderdale Ave, Virginia Beach, VA 23455. The listed phone number is (757) 460-2057.

What is Independence Child Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Independence Child Therapy Services LLC was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.