Provider Demographics
NPI:1932873734
Name:REDESIGNING MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:REDESIGNING MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CURSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-303-7185
Mailing Address - Street 1:7611 FLOWERING MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1661
Mailing Address - Country:US
Mailing Address - Phone:757-303-7185
Mailing Address - Fax:
Practice Address - Street 1:2412 E VIRGINIA BEACH BLVD STE 1-A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-3604
Practice Address - Country:US
Practice Address - Phone:757-303-7185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty