Healthcare Provider Details

I. General information

NPI: 1144166364
Provider Name (Legal Business Name): FALCON BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 GOLDEN OAK CT STE 230
VIRGINIA BEACH VA
23452-8521
US

IV. Provider business mailing address

208 GOLDEN OAK CT STE 230
VIRGINIA BEACH VA
23452-8521
US

V. Phone/Fax

Practice location:
  • Phone: 757-340-9485
  • Fax: 757-486-1044
Mailing address:
  • Phone: 757-340-9485
  • Fax: 757-486-1044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JACOB SHAHEEN
Title or Position: CEO
Credential: MBA
Phone: 757-563-3484