Organization · Type 2 NPI

City of Portsmouth

Community/Behavioral Health Agency · Portsmouth, VA

NPI number 1093891699 Active

Practice location

1811 King Street
Portsmouth, VA 23704-3032

Fax (757) 393-5405

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	046 (VA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1093891699
Entity type: Organization (Type 2)
Issued: Oct 27, 2006
Last updated: Mar 6, 2020
Status: Active

Other names

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Department of Behavioral Healthcare Services · doing business as
Department of Behavioral Healthcare Services · doing business as

Authorized official

Ms. Mildred Elaine Breathwaite, M. ED, CSAC, QMHP, QSAP
Director/program Sponsor
(757) 393-8618

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093891699

City of Portsmouth's National Provider Identifier is 1093891699, issued on Oct 27, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portsmouth, VA. The record was last updated on Mar 6, 2020.