Active NPI
Coastal Virginia Mental Health Services PLLC
- Community/Behavioral Health Agency
- Virginia Beach, VA
National Provider Identifier
1104527332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COASTAL VIRGINIA MENTAL HEALTH SERVICES PLLC
- Practice address
- 1300 Diamond Springs Rd Ste 401
Virginia Beach, VA 23455-3632 - Phone
- (757) 724-0980
- NPI assigned
- Mar 14, 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
- Dr. Sophia C Sills-Tailor, LPC
- Title
- Owner
- Phone
- (757) 724-0980
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1300 Diamond Springs Rd Ste 401
Virginia Beach, VA 23455-3632
Mailing address
1300 Diamond Springs Rd Ste 401
Virginia Beach, VA 23455-3632
Phone (757) 724-0980
National Provider Directory
National Provider Directory- Tax ID family
- Better Efficient Community Care Access
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Virginia Beach, VA
- NPI 1770308520
Locations
1300 Diamond Springs Rd
Ste 401
Virginia Beach, VA 23455
Phone (757) 585-4033
192 Ballard Ct
Ste 300
Virginia Beach, VA 23462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1104527332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 DIAMOND SPRINGS RD STE 401",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234553632",
"telephone_number": "757-724-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 DIAMOND SPRINGS RD STE 401",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234553632",
"telephone_number": "757-724-0980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL VIRGINIA MENTAL HEALTH SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-14",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "SILLS-TAILOR",
"authorized_official_first_name": "SOPHIA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-724-0980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Coastal Surgical Specialists, PC
- Coastal Therapy Group Inc
- Coastal Tranquility Behavioral Health LLC
- Coastal Urology, P.C.
- Coastal Virginia Endodontics PLLC
- Coastal Virginia Mental Health Services PLLC
- Coastal Virginia Oral and Maxillofacial Surgery, PC
- Coastal Virginia Psychological Associates
- Coastal Virginia Psychological Associates
- Coastal Virginia Spine and Pain Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.