Organization Active NPI

Remedy Divine Behavioral Services LLC.

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1104523968
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REMEDY DIVINE BEHAVIORAL SERVICES LLC.
Practice address
1919 Commerce Dr Ste 160B
Hampton, VA 23666-4269
Phone
(757) 509-4894
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Mrs. Dominique Washington-Smith
Title
Ceo/Owner
Phone
(757) 509-4984

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1919 Commerce Dr Ste 160B
Hampton, VA 23666-4269

Mailing address

PO Box 9112
Hampton, VA 23670-0112
Phone (757) 509-4984

Other names 2

  • Remedy Divine Behavioral Services LLC. Doing business as
  • Restore Behavioral Services LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

1919 Commerce Dr
Ste 160B
Hampton, VA 23666
Phone (757) 509-4894

1919 Commerce Dr
Ste 230
Hampton, VA 23666

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1104523968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9112",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236700112",
            "telephone_number": "757-509-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR STE 160B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664269",
            "telephone_number": "757-509-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY DIVINE BEHAVIORAL SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON-SMITH",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "757-509-4984",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedy Divine Behavioral Services LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Behavioral Services LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.