ELITE THERAPEUTIC SERVICES, LLC (NPI# 1942634126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942634126 |
| Entity Type | Organization |
| Organization Name | ELITE THERAPEUTIC SERVICES, LLC |
| Other Organization Name | MARY'S MANGER |
| Practice Address |
2401 Crepe Myrtle Ln Chesapeake VA 23325-4644 |
| Practice Telephone | 7577354565 |
| Mailing Telephone | 7577354565 |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2013-08-24 |
| Authorized Official Name | MS. KIMBERLY M HAYWOOD (OWNER) |
| Authorized Official Telephone | 7577354565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Mary's Manger | Doing Business As Name - Organization |
| Street Address |
2401 CREPE MYRTLE LN |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23325-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165532 | Ife Michelle Milligan | Social Worker | 1509 Oleander Ave, Chesapeake, VA 23325 | 2020-02-05 |
| 1558722256 | Denise Simpson | Social Worker | 3004 Elbyrne Drive, Chesapeake, VA 23325 | 2016-03-09 |
| 1124195813 | Cecil J Carroll | Dentist | 4310 Indian River Road, Ste 1, Chesapeake, VA 23325 | 2006-11-29 |
| 1790870665 | Joy Marie Cocchiola | Dentist | 931 Providence Road, Chesapeake, VA 23325 | 2006-10-04 |
| 1396836383 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 211 15 Providence Rd, Chesapeake, VA 23325 | 2006-09-27 |
| 1326052986 | Larry Howard Kagan | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-07-28 |
| 1316476773 | Evelyn Lorraine Dickson | Driver | 2116 Allison Dr, Chesapeake, VA 23325 | 2017-06-08 |
| 1629155122 | Indian River Family Practice PC | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-11-01 |
| 1396755948 | Robert Bernard Laibstain | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-08-08 |
| 1649318247 | Michael Dale Turck | Dentist | 931 Providence Rd, Chesapeake, VA 23325-0931 | 2007-02-03 |
| Find all providers in zip 23325 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232280 | Anitra Holloway | Counselor | 2030 Christian Ave, Chesapeake, VA 23324-2332 | 2020-10-12 |
| 1841801289 | Delaina Joy Szafraniec | Counselor | 432 Rose Garden Ln, Chesapeake, VA 23320-6773 | 2020-08-10 |
| 1811527500 | Revitalife Therapy & Counseling LLC | Counselor | 1101 Executive Blvd Ste B, Chesapeake, VA 23320-3634 | 2020-01-22 |
| 1912546391 | Nicole M Hornef | Counselor | 325 Volvo Pkwy Ste B, Chesapeake, VA 23320-4724 | 2020-01-02 |
| 1205473634 | Stephanie Simpson | Counselor | 729 Aguila Dr, Chesapeake, VA 23322-8032 | 2019-12-04 |
| 1942764642 | Sarah Mines | Counselor | 1736 South Park Ct, St 201, Chesapeake, VA 23320-8922 | 2019-01-27 |
| 1669943429 | Latarsha Batiste | Counselor | 2105 Silverberry Dr Apt 103, Chesapeake, VA 23321-3267 | 2018-12-05 |
| 1285102954 | Toni Yvette Rudisill | Counselor | 3210 Churchland Blvd Ste 2, Chesapeake, VA 23321-5253 | 2018-11-11 |
| 1306340609 | David Walter Hunt IIi | Counselor | 3437 Bruin Dr, Chesapeake, VA 23321-4747 | 2018-03-21 |
| 1922451186 | Natasha M Beckum | Counselor | 1204 King Arthur Dr, Chesapeake, VA 23323-2824 | 2016-07-22 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23325 |
Please comment or provide details below to improve the information on ELITE THERAPEUTIC SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.