Organization
ALIS FAMILY PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LATHROP (DIRECTOR OF OPERATIONS)
(352) 801-1726
Entity
Organization
Contact information
Practice address
6350 CENTER DR STE 102, NORFOLK, VA 23502-4107
(503) 922-1999
Mailing address
729 13TH ST, VIRGINIA BEACH, VA 23451-4316
(412) 638-5490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
02/06/2026
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