# ALIS FAMILY PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528856705
- **Authorized official:** JESSICA LATHROP (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (352) 801-1726

## Contact information

- **Practice address:** 6350 CENTER DR STE 102, NORFOLK, VA 23502-4107
- **Practice address phone:** (503) 922-1999
- **Mailing address:** 729 13TH ST, VIRGINIA BEACH, VA 23451-4316
- **Mailing address phone:** (412) 638-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2025
- **Last updated:** 02/06/2026