Provider Demographics
NPI:1194162016
Name:ALL ABOUT YOU COMMUNITY MENTAL HEALTH SUPPORT SERVICES, INC
Entity type:Organization
Organization Name:ALL ABOUT YOU COMMUNITY MENTAL HEALTH SUPPORT SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TROYANOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:757-685-7077
Mailing Address - Street 1:2476 NIMMO PKWY STE 115
Mailing Address - Street 2:BOX 512
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-2588
Mailing Address - Country:US
Mailing Address - Phone:757-685-7077
Mailing Address - Fax:
Practice Address - Street 1:2476 NIMMO PKWY STE 115
Practice Address - Street 2:BOX 512
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2588
Practice Address - Country:US
Practice Address - Phone:757-685-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-01
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care