Healthcare Provider Details

I. General information

NPI: 1659201994
Provider Name (Legal Business Name): NAILAH KHALIA ALSTON-ISZARD MED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAILAH KHALIA ISZARD MED

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 GREENBRIER PKWY STE 200
CHESAPEAKE VA
23320-2876
US

IV. Provider business mailing address

3920 INSPIRATION ARC APT 401
VIRGINIA BEACH VA
23462-7854
US

V. Phone/Fax

Practice location:
  • Phone: 757-221-5143
  • Fax:
Mailing address:
  • Phone: 757-977-0337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704016988
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: