Provider Demographics
NPI:1861075988
Name:COGNITIVE BEHAVIOR THERAPY CENTER
Entity type:Organization
Organization Name:COGNITIVE BEHAVIOR THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-410-0700
Mailing Address - Street 1:1403 GREENBRIER PKWY STE 215
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0608
Mailing Address - Country:US
Mailing Address - Phone:757-410-0700
Mailing Address - Fax:757-222-3384
Practice Address - Street 1:1403 GREENBRIER PKWY STE 215
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0608
Practice Address - Country:US
Practice Address - Phone:757-410-0700
Practice Address - Fax:757-222-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty