MARY'S HOME INC NPI 1437871753

NPI Information

NPI: 1437871753
Provider Name: MARY'S HOME INC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Address: 4020 PORTSMOUTH BLVD
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 529-8844

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NPI Details

MARY'S HOME INC is a mental health counselor in Chesapeake, VA. MARY'S HOME INC NPI is 1437871753. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4020 PORTSMOUTH BLVD
CHESAPEAKE, VA
ZIP 23321-126
Phone: (757) 529-8844

The provider's authorized official is Krystal Clanton .
The authorized official title is Ceo and has the following contact phone number (757) 529-8844.

The enumeration date for this NPI number is 9/13/2022 and was last updated on 10/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3827	OTHER	VIRGINIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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