MLC Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MLC BEHAVIORAL SERVICES LLC

Practice address

2200 Colonial Ave Ste 16
Norfolk, VA 23517-1934

Phone

(470) 662-1901

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Sandra Monique Montalvo

Title

Ceo/Owner

Phone

(470) 662-1901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1720819667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 ALICIA DR APT 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623811",
            "telephone_number": "470-662-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLONIAL AVE STE 16",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171934",
            "telephone_number": "470-662-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLC BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "470-662-1901"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Mitnick, LCSW
• Ranjana Neelanjana Mitra, MD
• Monica Mitta, MD
• Deepak Mittal, MD
• Katelyn Mize, RN, MSN, ACNS-BC
• MLC Financial Services
• Malgorzata Agnieszka Mlynarczyk, M.D., PH.D.
• Abigail Grace Moberg, MD
• Keyana Mobley
• Michelle H. Mobley, NP

• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.