TA MARA'S PROMISE LLC NPI 1790221802

NPI Information

NPI: 1790221802
Provider Name: TA MARA'S PROMISE, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2601 WEST AVE
STE: 201
NEWPORT, VA
ZIP 23607
Phone: (618) 204-0190
Get Directions

TA MARA'S PROMISE, LLC is an addiction (substance use disorder) counselor in Newport, VA. TA MARA'S PROMISE, LLC NPI is 1790221802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2601 WEST AVE
STE: 201
NEWPORT, VA
ZIP 23607
Phone: (618) 204-0190
Fax: (757) 223-8100

The provider's authorized official is Tamara Patrice Williams .
The authorized official title is Owner/ceo and has the following contact phone number (757) 748-4048.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0710102326	VIRGINIA	Yes
2	101YM0800X	Counselor	Mental Health	070105823	VIRGINIA	No

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »