Healthcare Provider Details

I. General information

NPI: 1124676564
Provider Name (Legal Business Name): FEELING MOODY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 GREENBRIER PKWY
CHESAPEAKE VA
23320-0614
US

IV. Provider business mailing address

2461 OLD GREENBRIER RD
CHESAPEAKE VA
23325-4935
US

V. Phone/Fax

Practice location:
  • Phone: 757-702-0118
  • Fax:
Mailing address:
  • Phone: 757-560-3160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. DYVERYNCE VAUGHAN
Title or Position: OWNER/CHIEF EXECUTIVE OFFICER
Credential: LPC
Phone: 757-702-0118