Healthcare Provider Details

I. General information

NPI: 1144966516
Provider Name (Legal Business Name): CALIBER & PROBE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 E TANNERS CREEK DR
NORFOLK VA
23513-1319
US

IV. Provider business mailing address

7870 TIDEWATER DRIVE STE. 206 PMB 608
NORFOLK VA
23505
US

V. Phone/Fax

Practice location:
  • Phone: 757-776-7612
  • Fax:
Mailing address:
  • Phone: 757-672-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS CANDICE GIVENS
Title or Position: CEO/OWNER
Credential:
Phone: 757-672-8222