Organization
WHITE HOUSE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABILA SADIQUA WHITE LPC (PRESIDENT)
(757) 763-7144
Entity
Organization
Contact information
Practice address
3321 W MERCURY BLVD STE D, HAMPTON, VA 23666-3806
(757) 262-2040
(757) 262-2070
Mailing address
PO BOX 7113, HAMPTON, VA 23666-0113
(757) 262-2040
(757) 262-2070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
BEHAVIORAL HEALTH SERVICES
VA
05
—
EIN
—
VA
Enumeration date
12/11/2023
Last updated
12/22/2023
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