Healthcare Provider Details

I. General information

NPI: 1649955006
Provider Name (Legal Business Name): CLINICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 10/12/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 THIMBLE SHOALS BLVD STE 5A
NEWPORT NEWS VA
23606-4217
US

IV. Provider business mailing address

6651 EVERETS RD
SUFFOLK VA
23434-6980
US

V. Phone/Fax

Practice location:
  • Phone: 757-964-7774
  • Fax: 757-257-0022
Mailing address:
  • Phone: 757-964-7774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARLETTE SIMMONS
Title or Position: CEO
Credential:
Phone: 347-733-2519