Remedy Divine Behavioral Services LLC.
Community/Behavioral Health in Hampton, VA. Organization (NPI-2).
NPI number1104523968
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1104523968
- Entity type
- Organization (NPI-2)
- Legal business name
- Remedy Divine Behavioral Services LLC.
- Organization subpart
- No
- Enumeration date
- Feb 13, 2023
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Remedy Divine Behavioral Services LLC. (Doing Business As)
Practice location
1919 Commerce Dr Ste 160bHampton, VA 23666-4269
Phone 757-509-4894
Mailing address
Po Box 9112Hampton, VA 23670-0112
Phone 757-509-4984
Authorized official
Dominique Washington-Smith
Ceo/Owner
7575094984
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