D'Vine Intervention Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701005691 Issued in VA

Legal business name

D'VINE INTERVENTION COUNSELING CENTER

Practice address

2424 Oak Street
Portsmouth, VA 27870

Phone

(252) 673-3196

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Letesha Renee' Gibson, LPC

Title

Christian Therapist/Owner

Phone

(252) 673-3196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1215323274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PIEDMONT COURT",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-673-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 OAK STREET",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "27870",
            "telephone_number": "252-673-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'VINE INTERVENTION COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LETESHA",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "CHRISTIAN THERAPIST/OWNER",
        "authorized_official_telephone_number": "252-673-3196",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701005691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Cyr
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• D-Vine Grace Home Health Care LLC
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• Christopher Francis D'Esposito Jr., MD
• D&J Proficient Health Care LLC
• D&J Proficient Skilled Home Healthcare LLC
• Jesse Michael Daconta, PHARMD
• Daniel Christopher Eseque Dagdag, DO
• Zein Al Ahbidin Daher, MD

• Community/Behavioral Health Agency in Portsmouth, VA
• Providers in Portsmouth, 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 Apr 14, 2015; 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.