MEDICARE: THERAPEUTIC COMMUNITY SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1528644069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC COMMUNITY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	313 OFFICE SQUARE LN STE 200C
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3657
Country	:	US
Telephone Number	:	757-241-5076
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 OFFICE SQUARE LN STE 200C
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3657
Country	:	US
Telephone Number	:	757-241-5076
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DESIREE KING
Credential	:
Telephone Number	:	434-473-9152

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	07/14/2023

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