Healthcare Provider Details

I. General information

NPI: 1376141234
Provider Name (Legal Business Name): CENTER FOR SEEKING PEACE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

IV. Provider business mailing address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

V. Phone/Fax

Practice location:
  • Phone: 757-704-4747
  • Fax: 757-704-4747
Mailing address:
  • Phone: 757-704-4747
  • Fax: 757-704-4747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GENISE MAXINE BINNS
Title or Position: OWNER
Credential: PMHNP
Phone: 757-778-5146