Purely You Mental Health & Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PURELY YOU MENTAL HEALTH & WELLNESS LLC

Practice address

249 Central Park Ave Ste 300-171
Virginia Beach, VA 23462-3099

Phone

(757) 770-4228

NPI assigned

Mar 11, 2026

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tazhane Jackson, LCSWNPI 1952089195

Title

Clinician

Phone

(757) 298-2573

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tazhane Jackson

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1952089195
  NPD (past) Authorized official

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1942157714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300-171",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623099",
            "telephone_number": "757-770-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300-171",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623099",
            "telephone_number": "757-770-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURELY YOU MENTAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAZHANE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "757-298-2573",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Punzalan
• Hue Tran Punzalan
• Lily Michelle Purdy
• Melissa Purdy
• Pure Intentions Support Services, LLC
• Amarjeet Singh Purewal, PSY.D
• Anne Taylor Purkerson, LPC
• Grazia Purley
• Purpose Transportation LLC
• Purposeful Living Support Services LLC

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.