Healthcare Provider Details

I. General information

NPI: 1104305945
Provider Name (Legal Business Name): AAMEN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 TIDEWATER DR # B
NORFOLK VA
23504-2827
US

IV. Provider business mailing address

1499 TIDEWATER DR
NORFOLK VA
23504-2827
US

V. Phone/Fax

Practice location:
  • Phone: 757-343-1683
  • Fax: 757-512-6251
Mailing address:
  • Phone: 757-452-4356
  • Fax: 757-512-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number2908-03-001
License Number StateVA

VIII. Authorized Official

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