Healthcare Provider Details

I. General information

NPI: 1942138474
Provider Name (Legal Business Name): NEW CREATIONS TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 W WASHINGTON ST
SUFFOLK VA
23434-6242
US

IV. Provider business mailing address

1024 CENTERBROOKE LANE F 136
SUFFOLK VA
23434-8291
US

V. Phone/Fax

Practice location:
  • Phone: 804-868-5518
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KECIA TERRELONGE
Title or Position: OWNER
Credential:
Phone: 804-868-5518