Provider Demographics
NPI:1760210223
Name:AFYA PSYCHIATRIC SERVICES, PLLC
Entity type:Organization
Organization Name:AFYA PSYCHIATRIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHON
Authorized Official - Middle Name:CHENEE
Authorized Official - Last Name:BLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:804-735-8477
Mailing Address - Street 1:19711 ENGLISH WELLS WAY APT 202
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-7877
Mailing Address - Country:US
Mailing Address - Phone:804-735-8477
Mailing Address - Fax:
Practice Address - Street 1:19711 ENGLISH WELLS WAY APT 202
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7877
Practice Address - Country:US
Practice Address - Phone:804-735-8477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty