Active NPI
Mid-Atlantic Behavioral Services , LLC
- Community/Behavioral Health Agency
- Chester, VA
National Provider Identifier
1245014836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Italia Talley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Petersburg, VA
- NPI 1700668613
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.