Healthcare Provider Details

I. General information

NPI: 1023972304
Provider Name (Legal Business Name): SINCEREKNEES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SILVER ISLES BLVD APT G
HAMPTON VA
23664-1943
US

IV. Provider business mailing address

325 SILVER ISLES BLVD APT G
HAMPTON VA
23664-1943
US

V. Phone/Fax

Practice location:
  • Phone: 757-846-1837
  • Fax:
Mailing address:
  • Phone: 757-846-1837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALISHA DEVONYA JOHNSON
Title or Position: PROVIDER
Credential:
Phone: 757-846-1837