Sobriety & Suboxone Holistic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOBRIETY & SUBOXONE HOLISTIC SERVICES

Practice address

3412 Columbia St
Portsmouth, VA 23707-3201

Phone

(757) 606-1213

Fax

(757) 606-1329

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Arnella Edwards, PMHNP-BCNPI 1457802795

Title

Owner

Phone

(757) 606-1213

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Arnella M Edwards

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1457802795
  Medicare reassignment NPD Authorized official
• Caroline M. Isoe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffolk, VA
  • NPI 1902310147
  Medicare reassignment NPD
• Elohor Tessy Muagba, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, VA
  • NPI 1497309363
  NPD
• Rochelle Bailey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
  • NPI 1346812153
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1508455627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 COLUMBIA ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073201",
            "telephone_number": "757-606-1213",
            "fax_number": "757-606-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 COLUMBIA ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073201",
            "telephone_number": "757-606-1213",
            "fax_number": "757-606-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY & SUBOXONE HOLISTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ARNELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-606-1213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Oswald Snowden
• Elizabeth McLaughlin Snyder, PA-C
• Stephanie Snyder
• Laura Faith Sobczak, BSN RN
• Arleen Sobel, CRNA
• Derek Donald Soden, D.D.S.
• Lydia Sohn, DO
• Rebecca Noel Soistmann, MD, MPH
• Ana Lidia Solis, M.D.
• Jon Solomon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.