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TIDEWATER THERAPEUTIC AFTERSCHOOL
NPI 1881032183
Community/Behavioral Health in Hampton, VA

Active since June 07, 2013
12 SALTERS CREEK RD, HAMPTON, VA 23661(757) 380-0194 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tidewater Therapeutic Afterschool NPPES

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

TIDEWATER THERAPEUTIC AFTERSCHOOL (NPI 1881032183) is a healthcare organization registered as a community/behavioral health in Hampton, Virginia and active in the NPI registry since June 2013. The organization lists Princetta D Wooten, President, as its authorized official.

NPPES Registry Identity

NPI1881032183
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTIDEWATER THERAPEUTIC AFTERSCHOOL
Location Address12 SALTERS CREEK RDHampton, VA 23661-2453
Mailing Address12 Salters Creek RdHampton, VA 23661-2453 · (757) 380-0194
Phone(757) 380-0194
Organization SubpartNo
Authorized OfficialPrincetta D WootenPresident · (757) 592-7584
Enumeration DateJune 7, 2013
✔ NPI 1881032183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in VA · 1742
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
12 SALTERS CREEK RD, Hampton, VA 23661
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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 Tidewater Therapeutic Afterschool's NPI number?

The NPI number for Tidewater Therapeutic Afterschool is 1881032183. It was assigned to this organization in the NPPES registry on June 7, 2013.

Where is Tidewater Therapeutic Afterschool located?

Tidewater Therapeutic Afterschool is located at 12 Salters Creek Rd, Hampton, VA 23661. The listed phone number is (757) 380-0194.

What is Tidewater Therapeutic Afterschool's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Therapeutic Afterschool was last updated on June 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.