Healthcare Provider Details

I. General information

NPI: 1356156038
Provider Name (Legal Business Name): SOAR & REST OUTPATIENT ADDICTION AND MENTAL HEALTH SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 THIMBLE SHOALS BLVD STE 704
NEWPORT NEWS VA
23606-3586
US

IV. Provider business mailing address

739 THIMBLE SHOALS BLVD STE 704
NEWPORT NEWS VA
23606-3586
US

V. Phone/Fax

Practice location:
  • Phone: 804-496-3082
  • Fax:
Mailing address:
  • Phone: 800-496-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA FELTON
Title or Position: OWNER
Credential: LPC
Phone: 757-295-6211