Village Restoration

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701004205 Issued in VA

Legal business name

VILLAGE RESTORATION

Practice address

550 Denbigh Blvd
Newport News, VA 23608-4240

Phone

(757) 218-2507

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Travers Dennis, MA, EDS, LPC

Title

Executive Administrator

Phone

(757) 218-2507

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1215263629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15194",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236080023",
            "telephone_number": "757-218-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DENBIGH BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084240",
            "telephone_number": "757-218-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "TRAVERS",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-218-2507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, EDS, LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "0701004205",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701004205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Renee Via, LPC
• Channel Lalique Vialet, CRNA
• Fnu Vikram, MD
• Ashlee K Villa, MA, LPC
• Village Doctor, P.C.
• Stacey Webber Villanueva
• Freddie Dean Vines
• Thao Leanne Vinh
• Koren Lea Virella, LCSW
• Virginia Anesthesia and Perioperative Care Specialists LLC

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.