Active NPI
Remedy Divine Behavioral Services LLC.
Doing business as Restore 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.
- Doing business as
- Remedy Divine Behavioral Services LLC.
Restore Behavioral Services LLC. - Practice address
- 1919 Commerce Dr Ste 160B
Hampton, VA 23666-4269 - Phone
- (757) 509-4894
- NPI assigned
- Feb 13, 2023
- Last updated
- Mar 24, 2026
- 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 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
- Kay S Reid, MSN,GNP
- Nicole Reid, COTA/L
- Shawnette Reid
- Theodore R Reiff, M.D.
- Benjamin Reilly, FNP
- Ellsworth Jack Remson, JD, MD
- Renal Treatment Centers Mid Atlantic Inc (Hope Dialysis Center)
- Renee D. May PHD LLC (Renee DeVenny May PhD LLC)
- Renewed Interventions L.L.C.
- Renewed Purpose Treatment Center LLC
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.