| Pure Intentions Support Services, Llc | |
|
3707 Virginia Beach Blvd Ste 204 Virginia Beach VA 23452-3412 | |
| (757) 642-5027 | |
| Not Available |
| Full Name | Pure Intentions Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3707 Virginia Beach Blvd Ste 204, Virginia Beach, Virginia |
| Authorized Official Name and Position | Berceta Stevenson (OWNER) |
| Authorized Official Contact | 7576425027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Intentions Support Services, Llc 3707 Virginia Beach Blvd Ste 204 Virginia Beach VA 23452-3412 Ph: () - | Pure Intentions Support Services, Llc 3707 Virginia Beach Blvd Ste 204 Virginia Beach VA 23452-3412 Ph: (757) 642-5027 |
| NPI Number | 1356290449 |
|---|---|
| Provider Enumeration Date | 01/22/2026 |
| Last Update Date | 01/22/2026 |
| Certification Date | 01/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356290449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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