TNM Mental Health Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TNM MENTAL HEALTH SERVICES, LLC

Practice address

4010 Fort Huger Dr
Smithfield, VA 23430-5418

Phone

(757) 613-7349

NPI assigned

Jan 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tracy Nicole Malloy, QMHP-A, QMHP-C, M.ED

Title

Program Director

Phone

(757) 613-7349

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1093279978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 FORT HUGER DR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234305418",
            "telephone_number": "757-613-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 FORT HUGER DR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234305418",
            "telephone_number": "757-613-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNM MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-613-7349",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMHP-A, QMHP-C, M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Smithfield, VA
• Providers in Smithfield, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.