Active NPI
Waldron and Associates LLC
- Community/Behavioral Health Agency
- Virginia Beach, VA
National Provider Identifier
1861925364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0701005620
- Legal business name
- WALDRON AND ASSOCIATES LLC
- Practice address
- 4663 Haygood Rd
BLDG 2 Suite 216
Virginia Beach, VA 23455-5442 - Phone
- (804) 641-5176
- NPI assigned
- Apr 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Waldron Childress, LPC
- Title
- Owner
- Phone
- (804) 641-5176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0701005620 | VA | Primary |
Addresses
Primary practice location
4663 Haygood Rd
BLDG 2 Suite 216
Virginia Beach, VA 23455-5442
Mailing address
4663 Haygood Rd
BLDG 2 Suite 216
Virginia Beach, VA 23455-5442
Phone (804) 641-5176
National Provider Directory
National Provider DirectoryLocations
4663 Haygood Rd
Ste 216
Virginia Beach, VA 23455
Phone (757) 412-7816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491868800000",
"number": "1861925364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4663 HAYGOOD RD",
"address_2": "BLDG 2 SUITE 216",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555442",
"telephone_number": "804-641-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4663 HAYGOOD RD",
"address_2": "BLDG 2 SUITE 216",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555442",
"telephone_number": "804-641-5176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALDRON AND ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A",
"authorized_official_last_name": "CHILDRESS",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "WALDRON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-641-5176",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "0701005620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.