Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Grove Support LLC

Organization Community/Behavioral Health Agency · NPI 1700694320

Eastern Grove Support LLC is a Community/Behavioral Health Agency in Portsmouth, Virginia. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

355 Crawford St
Portsmouth, VA 23704-2816
Phone: (833) 774-9633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1255 W Ocean View Ave, Norfolk, VA 23503-1123 — (757) 998-8168

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1700694320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keenen Mapp — Director · (833) 774-9633
NPI enumeratedDecember 28, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address355 Crawford St, Portsmouth, VA 23704-2816

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