Provider Demographics
NPI:1831572304
Name:SUPPORTING ARMS CONTINUING CARE, LLC
Entity type:Organization
Organization Name:SUPPORTING ARMS CONTINUING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:LEVETTE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, CSAS
Authorized Official - Phone:757-572-1517
Mailing Address - Street 1:540 E CONSTANCE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3004
Mailing Address - Country:US
Mailing Address - Phone:757-539-0407
Mailing Address - Fax:757-539-8394
Practice Address - Street 1:540 E CONSTANCE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-3004
Practice Address - Country:US
Practice Address - Phone:757-539-0407
Practice Address - Fax:757-539-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102165261QR0405X, 324500000X
VA2242251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility