Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COMMONWEALTH COMMUNITY DEVELOPMENT SERVICES INC.
Active
Organization
COMMONWEALTH COMMUNITY DEVELOPMENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTAL BROOKS LMSW, LMHP-S (EXECUTIVE DIRECTOR)
(757) 822-3835
Entity
Organization
Contact information
Practice address
719 HIGH ST, PORTSMOUTH, VA 23704-3425
(757) 822-3835
Mailing address
719 HIGH ST, PORTSMOUTH, VA 23704-3425
(757) 822-3835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/15/2022
Last updated
01/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up