<Unavail>

LBN: Your Business Ccc
<Unavail> is an health care organization with primary practice located at 424 Market St Ste 100 , Suffolk VA 23434-5249. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Your Business Ccc can be contacted via phone (757) 347-0703, or through Smith, Whitney via phone (757) 347-0703.

Contact Information

Primary practice address
424 Market St Ste 100 Suffolk VA 23434-5249
Phone: (757) 347-0703
Fax: (757) 276-6514
Website:
Map and Directions
Authorized official contact:
Name: Smith, Whitney
Phone: (757) 347-0703

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1639987530
LBN Legal business name Your Business Ccc
DBA Doing business as <Unavail>
Authorized official Smith, Whitney
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 23rd, 2024
Last updated Mar 20th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639987530 NPPES
Virginia MEDICAID 1922695592

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