Healthcare Provider Details

I. General information

NPI: 1700702495
Provider Name (Legal Business Name): AAA COMMUNITY CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CHADWICK CT APT 101
SUFFOLK VA
23434-2448
US

IV. Provider business mailing address

1000 CHADWICK CT APT 101
SUFFOLK VA
23434-2448
US

V. Phone/Fax

Practice location:
  • Phone: 757-537-6589
  • Fax: 757-537-6589
Mailing address:
  • Phone: 757-537-6589
  • Fax: 757-537-6589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA STEVENSON
Title or Position: CEO
Credential:
Phone: 757-537-6589