Provider Demographics
NPI:1063077451
Name:GATEWAY SERVICES, LLC
Entity type:Organization
Organization Name:GATEWAY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-970-0676
Mailing Address - Street 1:676 INDEPENDENCE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5218
Mailing Address - Country:US
Mailing Address - Phone:757-970-0353
Mailing Address - Fax:757-970-0355
Practice Address - Street 1:676 INDEPENDENCE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5218
Practice Address - Country:US
Practice Address - Phone:757-970-0353
Practice Address - Fax:757-970-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health