Organization Active NPI

Sandbridge Therapy & Wellness, LLC

Doing business as Sandbridge Therapy & Wellness

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1962202812
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SANDBRIDGE THERAPY & WELLNESS, LLC
Doing business as
Sandbridge Therapy & Wellness
Practice address
2397 Liberty Way Ste 103
Virginia Beach, VA 23456-3464
Phone
(757) 230-5584
NPI assigned
Mar 18, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SANDBRIDGE THERAPY & WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Mrs. Amanda Stull, LPC-RNPI 1912725979
Title
Business Owner
Phone
(757) 230-5584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2397 Liberty Way Ste 103
Virginia Beach, VA 23456-3464

Mailing address

2397 Liberty Way Ste 103
Virginia Beach, VA 23456-3464
Phone (757) 230-5584

Other identifiers 1

IdentifierTypeStateIssuer
3001820567MedicaidVA

Other names 1

  • Sandbridge Therapy & Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Sandbridge Therapy Wellness LLC

Locations

2397 Liberty Way
Ste 103
Virginia Beach, VA 23456
Phone (757) 230-5584

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1962202812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 LIBERTY WAY STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563464",
            "telephone_number": "757-230-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 LIBERTY WAY STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563464",
            "telephone_number": "757-230-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBRIDGE THERAPY & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDBRIDGE THERAPY & WELLNESS, LLC",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "757-230-5584",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001820567",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandbridge Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandbridge Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

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