Provider Demographics
NPI:1952934721
Name:ENERGY CENTER SERVICES, LLC
Entity Type:Organization
Organization Name:ENERGY CENTER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEENAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, QMHP-A
Authorized Official - Phone:757-770-5743
Mailing Address - Street 1:4 FAIRCHILD CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6028
Mailing Address - Country:US
Mailing Address - Phone:757-770-5743
Mailing Address - Fax:757-262-1278
Practice Address - Street 1:4 FAIRCHILD CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6028
Practice Address - Country:US
Practice Address - Phone:757-770-5743
Practice Address - Fax:757-262-1278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health