Organization · NPI-2
Alis Family Psychiatry, LLC
Nurse Practitioner, Psych/Mental Health · Norfolk, VA
NPI number1528856705
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1528856705
- Entity type
- Organization (NPI-2)
- Legal business name
- Alis Family Psychiatry, LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2025
- Certification date
- Feb 6, 2026
- Last updated
- Feb 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
6350 Center Dr Ste 102Norfolk, VA 23502-4107
Phone 503-922-1999
Mailing address
729 13th StVirginia Beach, VA 23451-4316
Phone 412-638-5490
Authorized official
Jessica Lathrop
Director Of Operations
3528011726
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