Victory's Village, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VICTORY'S VILLAGE, LLC

Practice address

4588 S Plaza TRL Ste 105
Virginia Beach, VA 23462-7792

Phone

(757) 231-5135

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Tuazon Gatchalian

Title

Chief Operating Officer

Phone

(757) 980-7609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1275301822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 S PLAZA TRL STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 S PLAZA TRL STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627792",
            "telephone_number": "757-231-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY'S VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GATCHALIAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "TUAZON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "757-980-7609"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lyndera Vickland, LMT
• Victoria Marie Graziano
• Brittany Videll
• Danika Vielma, RDN
• Andy Javier Vila
• Billy Villalobos, USN IDC
• Susie Joy Villanueva Swamp, COTA/L

• Community/Behavioral Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, 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 Dec 13, 2023; 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.