Organization Active NPI

Mid-Atlantic Behavioral Services , LLC

  • Community/Behavioral Health Agency
  • Chester, VA
National Provider Identifier
1245014836
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MID-ATLANTIC BEHAVIORAL SERVICES , LLC
Practice address
11923 Centre St Ste B1
Chester, VA 23831-1702
Phone
(310) 270-0968
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Ms. Italia TalleyNPI 1700668613
Title
Owner
Phone
(310) 270-0968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

11923 Centre St Ste B1
Chester, VA 23831-1702

Mailing address

11923 Centre St Ste B1
Chester, VA 23831-1702

National Provider Directory

National Provider Directory

Locations

11923 Centre St
Ste B1
Chester, VA 23831
Phone (310) 270-0968

39 Bollingbrook St
Petersburg, VA 23803
Phone (310) 270-0968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1245014836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11923 CENTRE ST STE B1",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11923 CENTRE ST STE B1",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311702",
            "telephone_number": "310-270-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC BEHAVIORAL SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "ITALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-270-0968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.