Independence Child Therapy Services LLC
NPI 1417232802 · Clinical Psychologist · Virginia Beach, VA
Independence Child Therapy Services LLC is a Clinical Psychologist organization in Virginia Beach, VA (NPI 1417232802).
Provider details
- NPI number
- 1417232802
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Linda Bourdon, Director(757) 460-2057
- License
- 0810004468 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-10-17
- Last updated
- 2011-10-17
Frequently asked questions
- What is Independence Child Therapy Services LLC's NPI number?
- Independence Child Therapy Services LLC's National Provider Identifier (NPI) is 1417232802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Child Therapy Services LLC?
- Independence Child Therapy Services LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Independence Child Therapy Services LLC located?
- Independence Child Therapy Services LLC's practice location on file with NPPES is 4807a Lauderdale Ave, Virginia Beach, VA 23455-1364.
- What is Independence Child Therapy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Independence Child Therapy Services LLC is (757) 460-2057.
- Who is the authorized official for Independence Child Therapy Services LLC?
- The authorized official listed on Independence Child Therapy Services LLC's NPPES record is Linda Bourdon, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Child Therapy Services LLC's NPI active?
- Yes — Independence Child Therapy Services LLC's NPI (1417232802) is active in the NPPES registry as of the last update on 2011-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.