Healthcare Provider Details

I. General information

NPI: 1033097282
Provider Name (Legal Business Name): TATES HEALTH CARE & BEHAVIORAL HEALTH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 HALSTEAD BLVD. SUITE 16
ELIZABETH CITY NC
27909
US

IV. Provider business mailing address

905 HALSTEAD BLVD STE 16
ELIZABETH CITY NC
27909-6816
US

V. Phone/Fax

Practice location:
  • Phone: 855-252-4870
  • Fax: 855-434-2525
Mailing address:
  • Phone: 855-252-4870
  • Fax: 855-434-2525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ARNETTE OLIVIA TATES
Title or Position: PRESIDENT, CEO
Credential: DNP, FNP-BC,PMHNP-BC
Phone: 855-252-4870