Organization Active NPI

Coastal Virginia Mental Health Services PLLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1104527332
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 18, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Access2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.