Provider Demographics
NPI:1558247106
Name:VIRGINIA INTEGRATED CARE INC
Entity type:Organization
Organization Name:VIRGINIA INTEGRATED CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEDIAH
Authorized Official - Middle Name:SUMMER
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RESIDENT LPC
Authorized Official - Phone:757-235-3876
Mailing Address - Street 1:464 INVESTORS PL STE 102A
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1167
Mailing Address - Country:US
Mailing Address - Phone:757-235-3876
Mailing Address - Fax:
Practice Address - Street 1:464 INVESTORS PL STE 102A
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1167
Practice Address - Country:US
Practice Address - Phone:757-235-3876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty