Commonwealth Ict Services, Llc

LBN: Ict Services, Inc.
Commonwealth Ict Services, Llc is an health care organization with primary practice located at 6465 College Park Sq Ste 300 , Va Beach VA 23464-3622. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Ict Services, Inc. can be contacted via phone (757) 351-0057, or through Ketner-White, Morgan Brianna via phone (757) 351-0057.

Contact Information

Primary practice address
6465 College Park Sq Ste 300 Va Beach VA 23464-3622
Phone: (757) 351-0057
Fax: (757) 351-6890
Website:
Map and Directions
Authorized official contact:
Name: Ketner-White, Morgan Brianna
Phone: (757) 351-0057

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1619340858
LBN Legal business name Ict Services, Inc.
DBA Doing business as Commonwealth Ict Services, Llc
Authorized official Ketner-White, Morgan Brianna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated May 15th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619340858 NPPES
Virginia MEDICAID 30017483470001
Virginia MEDICAID 16186
Virginia MEDICAID 30017483470002

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