MEDICARE: STARTING NEW COLLABORATIVE, 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1639952765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARTING NEW COLLABORATIVE, LLC

Provider Business Mailing Address
First Line	:	2 CONSTITUTION DR STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3479
Country	:	US
Telephone Number	:	757-263-0277
Fax Number	:	757-263-0278

Provider Business Practice Location Address
First Line	:	2 CONSTITUTION DR STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3479
Country	:	US
Telephone Number	:	757-263-0277
Fax Number	:	757-263-0278

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY SMITH
Credential	:	APRN-PMHNP
Telephone Number	:	757-263-0277

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	01/06/2026

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Directions to “STARTING NEW COLLABORATIVE, LLC ” Practice Location

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