Organization
ADVANCED CLINICIANS SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL J BAKER (OWNER)
(757) 917-0606
Entity
Organization
Contact information
Practice address
3520 E LITTLE CREEK RD STE DANDE, NORFOLK, VA 23518-3460
(757) 381-6655
Mailing address
3520 E LITTLE CREEK RD STE DANDE, NORFOLK, VA 23518-3460
(757) 337-8501
(757) 210-4129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/24/2020
Last updated
02/24/2026
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