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General NPI Number Information
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NPI Number | 1821963927
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SERVICES OF VIRGINIA, LLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 5604 VIRGINIA BEACH BLVD STE 101A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5631
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Country | US
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Telephone | 757-455-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5604 VIRGINIA BEACH BLVD STE 101A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5631
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Country | US
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Telephone | 757-455-5000
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Fax |
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Authorized Official
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Title or Position | OWNER, COO
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Name | JOSHUA ADLER
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Credential |
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Telephone | 757-455-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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