Organization
SOUTHSIDE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE J SCOTT (LPC)
(757) 309-1405
Entity
Organization
Contact information
Practice address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 309-1405
Mailing address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 309-1405
(757) 514-8642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
2356
VA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015286400001
—
VA
05
—
30015286400002
—
VA
05
—
30015286400003
—
VA
05
—
30015286400004
—
VA
Enumeration date
07/11/2018
Last updated
03/05/2026
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