OrganizationActive

Western Tidewater Community Mental

NPI 1689615296 · Mental Health Clinic/Center (Including Community Mental Health Center) · Suffolk, VA

Provider details

NPI number: 1689615296
Entity type: Organization
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Marion Young, Reimbursement Supervisor(757) 687-9087

Specialties & taxonomies

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801X
Ambulatory Health Care Facilities
Emergency Response System Companies333300000X
Suppliers
Community/Behavioral Health Agency251S00000X
Agencies
In Home Supportive Care Agency253Z00000X
Agencies
Home Modifications Contractor171WH0202X
Other Service Providers
Psychiatric Residential Treatment Facility323P00000X
Residential Treatment Facilities
Case Management Agency251B00000X

Profile Score

Detailed profile(100/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
11 documented practice locations

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

7025 Harbour View Blvd Ste 119

Suffolk, VA 23435-2762

Phone: (757) 966-2805

Fax: (757) 673-2586

Street-level locationGet directions

More VA providers

Mailing address

7025 Harbour View Blvd Ste 119

Suffolk, VA 23435-2762

Other names (DBA / former)

Doing business as: Western Tidewater Community Services Board

Additional practice locations (10)

200 E 2nd Ave
Franklin, VA 23851-1506
Phone: (757) 562-2208
Fax: (757) 925-2296
1428 Big Bethel Rd
Hampton, VA 23666-1409
Phone: (757) 966-2805
Fax: (757) 673-2586
1913 S Church St Ste 2
Smithfield, VA 23430-1852
Phone: (757) 357-7458
Fax: (757) 356-1808
641 Adkins Cir
Suffolk, VA 23434-3301
Phone: (757) 966-2805
Fax: (757) 673-2586
1000 Commercial Ln
Suffolk, VA 23434-8148
Phone: (757) 942-1069
Fax: (757) 925-2213
805 Jefferson St
Suffolk, VA 23434-4068
Phone: (757) 966-2805
Fax: (757) 673-2586
5268 Godwin Blvd
Suffolk, VA 23434-8114
Phone: (757) 266-7131
Fax: (757) 255-7128
135 S Saratoga St
Suffolk, VA 23434-5322
Phone: (757) 935-5160

Enumerated: 2006-06-08
Last updated: 2026-01-23
Certified: 2026-01-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.