Organization
PHELPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYA PHELPS CORBIN (OPERATIONS MANAGER)
(757) 228-8811
Entity
Organization
Contact information
Practice address
5184 RUGBY RD, VIRGINIA BEACH, VA 23464-7954
(757) 228-8811
Mailing address
5184 RUGBY RD, VIRGINIA BEACH, VA 23464-7954
(757) 228-8811
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1679
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
Enumeration date
12/18/2013
Last updated
12/18/2013
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