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

Justin's Black Tea and Bread, a Tea Room LLC

Organization Health Service Clinic/Center · NPI 1255684858

Justin's Black Tea and Bread, a Tea Room LLC is a Health Service Clinic/Center in Stafford, Virginia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Providence St Ste 203
Stafford, VA 22554-8300
Phone: (703) 589-5432
Fax: (540) 657-9732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1255684858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Proctor — President Ceo · (703) 589-5432
Other names Peoples Healthcare Facility
NPI enumeratedOctober 19, 2012
Last updated in NPPESOctober 19, 2012
Mailing address1001 Providence St, Ste 203, Stafford, VA 22554-8300