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
MINDSET ADJUSTED COMMUNITY CENTER
Active
Organization
MINDSET ADJUSTED COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATESHA SHANEE BROADUS LCSW (EXECUTIVE DIRECTOR)
(757) 778-9800
Entity
Organization
Contact information
Practice address
110 COLISEUM XING # 5050, HAMPTON, VA 23666-5971
(757) 778-9800
Mailing address
110 COLISEUM XING # 5050, HAMPTON, VA 23666-5971
(757) 778-9800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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