A Sovereign Place LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

A SOVEREIGN PLACE LLC

Practice address

1604 Wright LN
Virginia Beach, VA 23451-5941

Phone

(757) 937-9071

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By 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

Erika Streett-Lawrence

Title

Ceo

Phone

(757) 544-7402

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1609465400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 WRIGHT LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515941",
            "telephone_number": "757-937-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 WRIGHT LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515941",
            "telephone_number": "757-937-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SOVEREIGN PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "STREETT-LAWRENCE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-544-7402"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.