NPIMap

Organization Active NPI

Adjust to Life Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
National Provider Identifier
1528477296
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2063 Issued in VA
Legal business name
ADJUST TO LIFE BEHAVIORAL SERVICES, LLC
Practice address
318 N Arch Rd
North Chesterfield, VA 23236-3567
Phone
(804) 387-0426
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
William Mickens II
Title
President
Phone
(804) 387-0426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2063 VA Primary

Addresses

Primary practice location

318 N Arch Rd
North Chesterfield, VA 23236-3567

Mailing address

889 Mount Olive Cohoke Rd
King William, VA 23086-2424

National Provider Directory

National Provider Directory
Tax ID family
Adjust to Life Behavioral Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1528477296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 MOUNT OLIVE COHOKE RD",
            "city": "KING WILLIAM",
            "state": "VA",
            "postal_code": "230862424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N ARCH RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363567",
            "telephone_number": "804-387-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST TO LIFE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "MICKENS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-387-0426",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.