Organization
K'QUEENDOM MENTORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ME'KIL SIMMONS REEVES QMHP-C (CEO)
(757) 778-3535
Entity
Organization
Contact information
Practice address
4710 ASHBURY LN, VIRGINIA BEACH, VA 23462-7221
(757) 778-3535
Mailing address
4710 ASHBURY LN, VIRGINIA BEACH, VA 23462-7221
(757) 778-3535
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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