Healthcare Provider Details

I. General information

NPI: 1497482020
Provider Name (Legal Business Name): PASSION 4 YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 TODDS LN STE 350
HAMPTON VA
23666-3210
US

IV. Provider business mailing address

1919 COMMERCE DR STE 160-B
HAMPTON VA
23666-4269
US

V. Phone/Fax

Practice location:
  • Phone: 804-724-3287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEE M FALLIN
Title or Position: CEO
Credential:
Phone: 804-724-3287