Healthcare Provider Details

I. General information

NPI: 1699611210
Provider Name (Legal Business Name): NATION OF RESILIENT SOULS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH VA
23452-7353
US

IV. Provider business mailing address

780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH VA
23452-7353
US

V. Phone/Fax

Practice location:
  • Phone: 757-895-6984
  • Fax:
Mailing address:
  • Phone: 757-895-6984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CIERRA ELIZABETH BROWNSON
Title or Position: CEO
Credential: M.S
Phone: 757-895-6984