NPI 1063119733
Tynes Mental Health Agency LLC
Practice location
- Address
- 5215 Colley Ave STE 138, Norfolk, VA 23508-2172
- Phone
- (757) 321-0463
- Fax
- (757) 257-0082
- Mailing address
- 5215 Colley Ave STE 136, Norfolk, VA 23508-2172
Authorised official
- Name
- Lakesha Williams
- Title
- Owner
- Phone
- (757) 718-6361
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1063119733
- Entity type
- Organization
- NPI issued
- 13 Feb 2023
- Record last updated
- 4 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.