Healthcare Provider Details

I. General information

NPI: 1821963927
Provider Name (Legal Business Name): MENTAL HEALTH SERVICES OF VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5604 VIRGINIA BEACH BLVD STE 101A
VIRGINIA BEACH VA
23462-5631
US

IV. Provider business mailing address

5604 VIRGINIA BEACH BLVD STE 101A
VIRGINIA BEACH VA
23462-5631
US

V. Phone/Fax

Practice location:
  • Phone: 757-455-5000
  • Fax:
Mailing address:
  • Phone: 757-455-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA ADLER
Title or Position: OWNER, COO
Credential:
Phone: 757-455-5000