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

Wellness Provider Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1942005335

Wellness Provider Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Virginia Beach, Virginia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone: (757) 650-1762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1209 Moorefield Ct, Virginia Beach, VA 23454-2210 — (757) 650-1762

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1942005335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tera Stanistreet — Manager · (757) 650-1762
NPI enumeratedFebruary 18, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332

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