Healthcare Provider Details

I. General information

NPI: 1396613444
Provider Name (Legal Business Name): CARE ALLIANCE COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 DARDEN DR
NEWPORT NEWS VA
23602-4909
US

IV. Provider business mailing address

1320 RICHMOND RD # 1144
WILLIAMSBURG VA
23185-2831
US

V. Phone/Fax

Practice location:
  • Phone: 757-260-9233
  • Fax:
Mailing address:
  • Phone: 757-260-9233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIARA ROBINSON
Title or Position: OWNER/CEO
Credential: LCSW
Phone: 757-383-0001