ADJUST TO LIFE BEHAVIORAL SERVICES, LLC
NPI 1295169647
Community/Behavioral Health in Aylett, VA

Active since August 21, 2013
5833 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009(804) 387-0426 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About ADJUST TO LIFE BEHAVIORAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Adjust To Life Behavioral Services, Llc, a provider established in Aylett, Virginia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1295169647 assigned on August 2013. The practitioner's primary taxonomy code is 251S00000X with license number 2063 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. William Mickens Qmhp (President)

NPI
1295169647 Verify this NPI
Provider Name
ADJUST TO LIFE BEHAVIORAL SERVICES, LLC
Entity Type
Organization
Location Address
5833 RICHMOND TAPPAHANNOCK HWY AYLETT, VA 23009
Location Phone
(804) 387-0426
Mailing Address
889 MOUNT OLIVE COHOKE RD KING WILLIAM, VA 23086
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2013
Last Update Date
08-21-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
2063
License State
VA
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM MICKENS QMHP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(804) 387-0426

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Professional)
5833 RICHMOND TAPPAHANNOCK HWY, SUITE 108-B
AYLETT, VA 23009
Social Worker (Clinical)
5833 RICHMOND TAPPAHANNOCK HWY
AYLETT, VA 23009
Counselor (Professional)
5833 RICHMOND TAPPAHANNOCK HWY, SUITE 108-B
AYLETT, VA 23009
Home Health
5833 RICHMOND TAPPAHANNOCK HWY
AYLETT, VA 23009
In Home Supportive Care
5833 RICHMOND TAPPAHANNOCK HWY, SUITE 102A
AYLETT, VA 23009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295169647, enumerated as an "organization" on August 21, 2013.

The provider is located at 5833 RICHMOND TAPPAHANNOCK HWY AYLETT, VA 23009 and the phone number is (804) 387-0426.

Community/Behavioral Health with taxonomy code 251S00000X.