SUCCESS IN MIND OF VIRGINIA LLC (NPI# 1952812810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952812810 |
| Entity Type | Organization |
| Organization Name | SUCCESS IN MIND OF VIRGINIA LLC |
| Other Organization Name | SUCCESS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
5000 New Point Rd Ste 3202 Williamsburg VA 23188-9423 |
| Practice Telephone | 7579032253 |
| Practice Fax Number | 7579032293 |
| Mailing Telephone | 7579032253 |
| Mailing Fax Number | 7579032293 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | DR. DOUGLAS ALLEN BROWN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7576453558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Success Behavioral Health Services | Doing Business As Name - Organization |
| Street Address |
5000 NEW POINT RD STE 3202 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353142 | Glenn Paul Clavet | Counselor | 4044 Penzance Pl, Williamsburg, VA 23188-6641 | 2020-07-08 |
| 1942831300 | Stephanie Jo Ellison | Counselor | 5000 New Point Rd, Williamsburg, VA 23188-9411 | 2020-02-03 |
| 1215580675 | Sarah Patricia Cloud | Counselor | 76 Wilson Rd, Williamsburg, KY 40769-9308 | 2019-07-24 |
| 1023572674 | Blair Elder Farrar | Counselor | 372 Mclaws Cir Ste 2, Williamsburg, VA 23185-5636 | 2019-01-29 |
| 1851855688 | Rachel Cunningham | Counselor | 1657 Merrimac Trl Bldg 1, Williamsburg, VA 23185-5624 | 2019-01-25 |
| 1720554090 | Sarah Elizabeth Clayton | Counselor | 5388 Discovery Park Blvd Ste 120b, Williamsburg, VA 23188-8218 | 2018-10-15 |
| 1669919833 | Ian Demodna | Counselor | 1001 Richmond Rd, Williamsburg, VA 23185-2895 | 2017-01-26 |
| 1275081598 | Joelle Janice Griffin Russell | Counselor | 1651 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-09-15 |
| 1326407610 | Karen Lynn Mapp Hall | Counselor | 907 Richmond Rd, Williamsburg, VA 23185-2821 | 2016-02-16 |
| 1992192702 | Donna Haygood Jackson | Counselor | 209 Yorkshire Dr, Williamsburg, VA 23185-3912 | 2015-04-20 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on SUCCESS IN MIND OF VIRGINIA 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.