NPIMap

Organization Active NPI

Unity Outreach Ministries of America, LLC

Doing business as Magnolia Angels

  • Clinical Psychologist
  • Portsmouth, VA
National Provider Identifier
1902281843
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001748 Issued in VA
Legal business name
UNITY OUTREACH MINISTRIES OF AMERICA, LLC
Doing business as
Magnolia Angels
Practice address
1122 London Blvd
Portsmouth, VA 23704-2246
Phone
(757) 581-3897
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Ms. Stacy Denice Coward
Title
Administrator/ Owner
Phone
(757) 581-3897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810001748 VA Primary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X 0001169953 VA

Addresses

Primary practice location

1122 London Blvd
Portsmouth, VA 23704-2246

Mailing address

1122 London Blvd
Portsmouth, VA 23704-2246
Phone (757) 581-3897

Other names 1

  • Magnolia Angels Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Angels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1902281843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042246",
            "telephone_number": "757-581-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042246",
            "telephone_number": "757-581-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY OUTREACH MINISTRIES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "757-581-3897",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001748",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001169953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.