CLINICAL SERVICES, LLC (NPI# 1972145357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972145357 |
| Entity Type | Organization |
| Organization Name | CLINICAL SERVICES, LLC |
| Practice Address |
6651 Everets Rd Suffolk VA 23434-6980 |
| Practice Telephone | 3477332519 |
| Mailing Telephone | 3477332519 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | ARLETTE SIMMONS (CEO) |
| Authorized Official Telephone | 3477332519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
| Street Address |
6651 EVERETS RD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868575 | Bridget Seely | Counselor | 707 Gittings St Ste 120, Suffolk, VA 23434-6101 | 2019-05-29 |
| 1942864970 | Gabrielle B Gomoke | Counselor | 7025 Harbor View Blvd Ste 119, Suffolk, VA 23435-2762 | 2019-04-25 |
| 1629542352 | Chiquita Monique Merrill | Counselor | 7025 Harbour View Blvd, Suffolk, VA 23435-2761 | 2019-01-16 |
| 1073021234 | Keisha Arnold | Counselor | 3897 Bridge Rd, Suffolk, VA 23435-1911 | 2018-01-22 |
| 1548786692 | Suffolk Psychotherapy, Inc. | Counselor | 425 W Washington St Ste 4, Suffolk, VA 23434-5320 | 2017-08-21 |
| 1194136309 | Rebecca Jo Hodges | Counselor | 3327 Nansemond River Dr, Suffolk, VA 23435-1057 | 2014-05-12 |
| 1164727798 | Kenneth P Wells | Counselor | 1589 Steeple Dr, Suffolk, VA 23433-1615 | 2011-01-12 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| 1679662571 | Sharon Wilson Krumpe | Counselor | 6072 Godwin Blvd, Pob 2387, Suffolk, VA 23432-1012 | 2006-10-11 |
| 1679549729 | Therapeno Counseling and Congregational Wellness Svs, LLC | Counselor | 1028 Snead Dr, Suffolk, VA 23434 | 2006-02-28 |
| Find all providers in SUFFOLK | ||||
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| 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.