Crestar Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CRESTAR HEALTH LLC

Practice address

1130 Tabb St Ste C
Norfolk, VA 23504-3434

Phone

(757) 625-0003

Fax

(757) 622-2590

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Chris Timeus Belin, BA ENGLISH

Title

Ceo

Phone

(757) 625-0003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1902041361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TABB ST STE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043434",
            "telephone_number": "757-625-0003",
            "fax_number": "757-622-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TABB ST STE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043434",
            "telephone_number": "757-625-0003",
            "fax_number": "757-622-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTAR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BELIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "TIMEUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-625-0003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA ENGLISH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Maness Credle, DO
• Rachel Elaine Creech, PA
• Daisa Lee Creel, LCSW
• Makiea Michae' Crennel, NP-C
• Pamela Crenshaw, MA
• Kelly Crews, OD
• Courtney Cripps, APN-CRNA
• Ashli D. Crislip, RDH
• Shiela Kaye Chua Crisostomo
• Rebekah Ann Crisp, AUD

• 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 Jul 14, 2020; 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.