Theresa'-Venia, LLC

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

THERESA'-VENIA, LLC

Doing business as

Corine's Place

Practice address

1536 Centre Ave
Portsmouth, VA 23704-6802

Phone

(757) 967-9545

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leolia Brown

Title

Administrator Executive Director

Phone

(757) 513-2074

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Corine's Place Doing business as

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891863973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 PORTSMOUTH BLVD",
            "address_2": "101-35",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212140",
            "telephone_number": "757-513-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 CENTRE AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046802",
            "telephone_number": "757-967-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA'-VENIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LEOLIA",
        "authorized_official_title_or_position": "ADMINISTRATOR EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-513-2074",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRACKING NO",
            "identifier": "0000005002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corine's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.