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

Your Nurse Practitioner PLLC

Organization Mental Health Counselor · NPI 1801489711

Your Nurse Practitioner PLLC is a Mental Health Counselor in Virginia Beach, Virginia. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
11
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4360 Shore Dr Ste 101
Virginia Beach, VA 23455-2994
Phone: (757) 251-0879
Fax: (984) 220-9437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1611 E Joy Ln Ste 1, Fort Mohave, AZ 86426-8940 — (757) 251-0879
  • 857 E Park Ave, Tallahassee, FL 32301-2620 — (757) 251-0879

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Human Factors Occupational Therapist Taxonomy 225XH1300X
Mental Health Occupational Therapist Taxonomy 225XM0800X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801489711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Nichols — Ceo · (757) 251-0879
Other names Panacea Behavioral Health & Wellness Center
NPI enumeratedFebruary 11, 2021
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address4360 Shore Dr Ste 101, Virginia Beach, VA 23455-2994

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