Provider Demographics
NPI:1174310734
Name:TRUE NORTH BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:TRUE NORTH BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-347-7220
Mailing Address - Street 1:12200 MOORES LAKE RD APT 2416
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-2460
Mailing Address - Country:US
Mailing Address - Phone:804-347-7220
Mailing Address - Fax:
Practice Address - Street 1:12200 MOORES LAKE RD APT 2416
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-2460
Practice Address - Country:US
Practice Address - Phone:804-631-2878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health