Healthcare Provider Details

I. General information

NPI: 1235921420
Provider Name (Legal Business Name): ACCOUNTABLE 4 ME SUPPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986 WASHINGTON AVE
NORFOLK VA
23504-2557
US

IV. Provider business mailing address

986 WASHINGTON AVE
NORFOLK VA
23504-2557
US

V. Phone/Fax

Practice location:
  • Phone: 757-343-1683
  • Fax: 757-512-6251
Mailing address:
  • Phone: 757-343-1683
  • Fax: 757-512-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE WIMBISH
Title or Position: CEO
Credential:
Phone: 757-343-1683