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

Shamba Wilson

Individual provider Community/Behavioral Health Agency · NPI 1083402200

Shamba Wilson is a Community/Behavioral Health Agency in Chesapeake, Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1332 Gust Ln
Chesapeake, VA 23323-2930
Phone: (757) 270-0526
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1083402200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address1332 Gust Ln, Chesapeake, VA 23323-2930

Other providers in Chesapeake