Provider Demographics
NPI:1013547355
Name:E.J MANAGEMENT SERVICES LLC.
Entity Type:Organization
Organization Name:E.J MANAGEMENT SERVICES LLC.
Other - Org Name:E.J MANAGEMENT SERVICES LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINELL
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-651-6996
Mailing Address - Street 1:2508 ELON DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4350
Mailing Address - Country:US
Mailing Address - Phone:757-651-6996
Mailing Address - Fax:
Practice Address - Street 1:2508 ELON DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4350
Practice Address - Country:US
Practice Address - Phone:757-651-6996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty