Organization Active NPI

Gifted Ambition Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
National Provider Identifier
1366315244
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GIFTED AMBITION HEALTH LLC
Practice address
734 City Center Blvd Ste C
Newport News, VA 23606-3090
Phone
(757) 876-4450
NPI assigned
Sep 26, 2025
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Dr. Mitchell Charles Holloman, QMHP, MPA, PHDNPI 1225848401
Title
Ceo
Phone
(757) 876-4450

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

734 City Center Blvd Ste C
Newport News, VA 23606-3090

Mailing address

734 City Center Blvd Ste C
Newport News, VA 23606-3090
Phone (757) 876-4450

National Provider Directory

National Provider Directory

Locations

734 City Center Blvd
Ste C
Newport News, VA 23606
Phone (757) 472-8746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1366315244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 CITY CENTER BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063090",
            "telephone_number": "757-876-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CITY CENTER BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063090",
            "telephone_number": "757-876-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED AMBITION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-876-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "QMHP, MPA, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.