Provider Demographics
NPI:1952005019
Name:TRUE MISSION SERVICES
Entity Type:Organization
Organization Name:TRUE MISSION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:AVANT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-581-9554
Mailing Address - Street 1:1601 HIGH PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-8507
Mailing Address - Country:US
Mailing Address - Phone:757-228-9870
Mailing Address - Fax:
Practice Address - Street 1:900 COMMONWEALTH PL STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4530
Practice Address - Country:US
Practice Address - Phone:757-581-9554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty