NPIMap

Organization Active NPI

Together Lives Change

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1255633582
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1701 Issued in VA
Legal business name
TOGETHER LIVES CHANGE
Practice address
2115 Executive Dr
Building 10-D
Hampton, VA 23666-2499
Phone
(757) 325-8452
Fax
(757) 224-1156
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Ms. Tiffany Nicole Hassell, MA
Title
Chief Executive Officer
Phone
(757) 955-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1701 VA Primary

Addresses

Primary practice location

2115 Executive Dr
Building 10-D
Hampton, VA 23666-2499

Mailing address

2115 Executive Dr
Building 10-D
Hampton, VA 23666-2499
Phone (757) 325-8452

National Provider Directory

National Provider Directory

Locations

2115 Executive Dr
Bldg 10D
Hampton, VA 23666
Phone (757) 325-8452

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1255633582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "BUILDING 10-D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-325-8452",
            "fax_number": "757-224-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "BUILDING 10-D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-325-8452",
            "fax_number": "757-224-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOGETHER LIVES CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HASSELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-955-5479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.