Healthcare Provider Details

I. General information

NPI: 1679488993
Provider Name (Legal Business Name): B STRONG THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1102 PARK AVE
CHESAPEAKE VA
23324-2218
US

IV. Provider business mailing address

1102 PARK AVE
CHESAPEAKE VA
23324-2218
US

V. Phone/Fax

Practice location:
  • Phone: 757-580-0949
  • Fax: 757-381-6644
Mailing address:
  • Phone:
  • Fax: 757-381-6644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EBONY HOLLAND
Title or Position: CEO
Credential:
Phone: 757-580-0949