A Miracle Group, LLC
A Miracle Group, LLC is a Community/Behavioral Health Agency in Portsmouth, Virginia. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3706 Winchester DrPortsmouth, VA 23707-4332
Phone: (757) 675-8763
Fax: (757) 483-6525
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1932826906 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Outland — Ceo · (757) 675-8763 |
| NPI enumerated | October 20, 2022 |
| Last updated in NPPES | October 20, 2022 |
| Certification date | October 20, 2022 |
| Mailing address | 4621 Mallard Cres, Portsmouth, VA 23703-2240 |
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