Healthcare Provider Details

I. General information

NPI: 1285559088
Provider Name (Legal Business Name): MELIJAH CALIXTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA ALMANACY BEAUSEJOUR

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 BUSINESS PARK DR STE 100
VIRGINIA BEACH VA
23462-6574
US

IV. Provider business mailing address

1225 ELLA LN APT 414
VIRGINIA BEACH VA
23455-3971
US

V. Phone/Fax

Practice location:
  • Phone: 757-210-3090
  • Fax: 757-210-4480
Mailing address:
  • Phone: 949-212-0443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: