Organization Active NPI

Life's Journey

  • Adult Mental Health Clinic/Center
  • Norfolk, VA
National Provider Identifier
1639533672
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFE'S JOURNEY
Practice address
1003 Norfolk SQ
Norfolk, VA 23502-3234
Phone
(757) 622-0700
Fax
(757) 622-2400
NPI assigned
Apr 6, 2016
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Shante Lenise WilliamsNPI 1407432735
Title
Coo
Phone
(757) 622-0700

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1003 Norfolk SQ
Norfolk, VA 23502-3234

Mailing address

1003 Norfolk SQ
Norfolk, VA 23502-3234
Phone (757) 622-0700

Other practice location 1

1424 McNeal Ave
Norfolk, VA 23502-2017
Phone (757) 622-0700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Norfolk Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201228000040 VA Part B Supplier - Clinic/Group Practice 8921410507 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

1003 Norfolk Sq
Norfolk, VA 23502
Phone (757) 622-0700

1401 Tidewater Dr
Ste 7
Norfolk, VA 23504

1424 McNeal Ave
Norfolk, VA 23502
Phone (757) 622-0700

2551 Eltham Ave
Ste F
Norfolk, VA 23513

Practitioners & affiliated clinicians

Practitioners 4

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": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1639533672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 NORFOLK SQ",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023234",
            "telephone_number": "757-622-0700",
            "fax_number": "757-622-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NORFOLK SQ",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023234",
            "telephone_number": "757-622-0700",
            "fax_number": "757-622-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1424 McNeal Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022017",
            "country_code": "US",
            "telephone_number": "757-622-0700",
            "fax_number": "757-622-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE'S JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_middle_name": "LENISE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "757-622-0700"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norfolk",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "2551 Eltham Ave Ste F",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235132505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.