IndividualActive
Tamara Doud
NPI 1194105346 · Emotionally Disturbed Childrens' Residential Treatment Facility · Newport News, VA
Provider details
- NPI number
- 1194105346
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23-036-099 (VA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 23-036-099 (VA)
Residential Treatment Facilities
Practice location
165 Motoka Dr Apt 1
Newport News, VA 23602-4053
Phone: (757) 768-5876
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Litton Ln # F
Suffolk, VA 23434-8081
Registry dates
- Enumerated
- 2015-06-03
- Last updated
- 2015-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.