Healthcare Provider Details

I. General information

NPI: 1134858897
Provider Name (Legal Business Name): SEEKING SERENITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 06/14/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 CROSSWAYS BLVD STE 250
CHESAPEAKE VA
23320-0218
US

IV. Provider business mailing address

1925 BEXLEY LN
CHESAPEAKE VA
23322-4443
US

V. Phone/Fax

Practice location:
  • Phone: 757-453-3822
  • Fax: 757-757-4534
Mailing address:
  • Phone: 757-453-3822
  • Fax: 757-453-4753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS DEBBIE GREENIDGE
Title or Position: NP
Credential: NURSE PRACTITIONER
Phone: 757-453-3822