DEMEITRIUS M WHITEHURST


Address: 12388 Warwick Blvd Ste 302, Newport News, Va 23602, Ste 302, Norfolk, VA 23606-2360
Phone: 7576796058

DEMEITRIUS M WHITEHURST (NPI# 1407331135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407331135
Entity Type Individual
Full Name DEMEITRIUS M WHITEHURST
Credential B.A., CSAC, QMHP-A-C
Practice Address 12388 Warwick Blvd Ste 302, Newport News, Va 23602
Ste 302
Norfolk
VA 23606-2360
Mailing Address 12388 Warwick Blvd Ste 302
Newport News
VA 23606-3858
Practice Telephone 7576796058
Mailing Telephone 7576796058
Enumeration Date 2018-09-27
Last Update Date 2018-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0710102215 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NONE 000000000 01

Office Location

Street Address 12388 WARWICK BLVD STE 302, NEWPORT NEWS, VA 23602
STE 302
City NORFOLK
State VA
Zip Code 23606-2360

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1730651282 Asia Denise Gordon Family Medicine 12715 Warwick Blvd # M&o, Newport News, VA 23606 2018-12-21
1447732870 Jean Ann Kimbrel Counselor 105 Nat Turner Blvd, Newport News, VA 23606 2018-09-01
1649762816 Paige Tretter Physical Therapist Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 2018-06-04
1447753959 Milov Margaret Sonnier Social Worker 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 2018-03-10
1033627740 F&n Home Health Agency, LLC Home Health 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 2018-01-16
1962858944 Helen G Arnold Family Medicine 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 2016-05-10
1780089474 Emily Giordano Occupational Therapist 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 2014-10-24
1982043345 Kreative Milestones Behavioral Healthcare Services Clinic/Center 12388 Warwick Blvd Ste 306, Newport News, VA 23606 2013-06-19
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154885366 Transforming Hearts, LLC Counselor 900 Granby St Ste 242, Norfolk, VA 23510-2503 2019-01-22
1114449162 Second Start, LLC Counselor 1432 Baychester Ave Apt A4, Norfolk, VA 23503-2320 2017-07-12
1760807754 Sara Heller Counselor 39 Grant St, Norfolk, CT 06058-1327 2014-02-27
1942634977 Elizabeth Nicole Snow Counselor 6325 N Center Dr Ste 202, Norfolk, VA 23502-0019 2013-08-27
1255689527 Andrea Danette Sutton Counselor 402 E Little Creek Rd, Norfolk, VA 23505-2714 2012-08-16
1609137108 Kelly M Higgins Counselor 9515 Dulwich Cres, Norfolk, VA 23503-2850 2012-06-01
1386951499 Stacy Richardson Counselor 521 Park Cres, Norfolk, VA 23511-4009 2010-09-10
1639342884 Donald E Edwards Counselor 1001 W Norfolk Ave, Norfolk, NE 68701-5057 2008-04-09
1073707410 Janice Gray Counselor 110 Kingsley Ln Ste 206, Norfolk, VA 23505-4616 2007-08-29
1174714794 Complete Adult & Family Care Counselor 734 Maltby Ave, Norfolk, VA 23504-3530 2007-08-08
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Competitor

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City NORFOLK
Zip Code 23606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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