Organization
CITY OF CHESAPEAKE
Active
Organization
CITY OF CHESAPEAKE
Active
Parent organization
CITY OF CHESAPEAKE TA CHESAPEAKE COMMUNITY SERV. BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF CHESAPEAKE TA CHESAPEAKE COMMUNITY SERV. BOARD
Authorized official
DEBORAH CHAMBLISS (REIMBURSEMENT SUPERVISOR)
(757) 819-6392
Entity
Organization
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE COMMUNITY SERVICES BOARD, CHESAPEAKE, VA 23320-3904
(757) 547-9334
(757) 819-6292
Mailing address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 547-9334
(757) 210-4173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
141 16 001
VA
252Y00000X
Early Intervention Provider Agency
141
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083100
SENTARA/OPTIMA
VA
05
—
1073650099
—
VA
01
—
250277
ANTHEM TRIGON
VA
01
—
IG007273
MAGELLEAN AGENCY NUMBER
VA
Enumeration date
01/31/2007
Last updated
03/05/2026
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