Provider Demographics
NPI:1467291906
Name:STEPS TO SERENITY - VIRGINIA BEACH, LLC
Entity type:Organization
Organization Name:STEPS TO SERENITY - VIRGINIA BEACH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-506-8252
Mailing Address - Street 1:1361 BEACONS REACH DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-5548
Mailing Address - Country:US
Mailing Address - Phone:757-506-8252
Mailing Address - Fax:757-774-8066
Practice Address - Street 1:2697 INTERNATIONAL PARKWAY
Practice Address - Street 2:BUILDING 1, SUITE 205
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-774-8066
Practice Address - Fax:757-774-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty