Active NPI
Remedy Divine Behavioral Services LLC.
- Community/Behavioral Health Agency
- Hampton, VA
National Provider Identifier
1104523968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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.
- Restore Behavioral Services LLC.
National Provider Directory
National Provider DirectoryLocations
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.