Healthcare Provider Details

I. General information

NPI: 1346154648
Provider Name (Legal Business Name): WELL MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 PARADISIO WAY
CHESAPEAKE VA
23322-6987
US

IV. Provider business mailing address

301 PARADISIO WAY
CHESAPEAKE VA
23322-6987
US

V. Phone/Fax

Practice location:
  • Phone: 757-413-5444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KEESHA WADLEY STEWART
Title or Position: OWNER
Credential:
Phone: 757-413-5444