Healthcare Provider Details

I. General information

NPI: 1578269460
Provider Name (Legal Business Name): DREAMS THERAPEUTIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 S PLAZA TRL STE 210A
VIRGINIA BEACH VA
23452-3300
US

IV. Provider business mailing address

3630 S PLAZA TRL STE 210A
VIRGINIA BEACH VA
23452-3300
US

V. Phone/Fax

Practice location:
  • Phone: 757-477-9416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NORRIS SHERMON
Title or Position: OWNER
Credential:
Phone: 757-477-9416