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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LONGEVITY MENTAL HEALTH GROUP LLC
NPI 1316799620
Community/Behavioral Health in Glen Allen, VA

Active since April 02, 2024
4611 DOGWOOD SPRINGS LN APT 104, GLEN ALLEN, VA 23059(757) 610-8000 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, Apr 3, 2025, Apr 2, 2024 (3 updates tracked since 2024).

About Longevity Mental Health Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY MENTAL HEALTH GROUP LLC (NPI 1316799620) is a healthcare organization registered as a community/behavioral health in Glen Allen, Virginia and active in the NPI registry since April 2024. The organization maintains 3 additional practice locations and lists Anthony Tyler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316799620
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLONGEVITY MENTAL HEALTH GROUP LLC
Location Address4611 DOGWOOD SPRINGS LN APT 104Glen Allen, VA 23059-7639
Mailing Address4611 Dogwood Springs Ln Apt 104Glen Allen, VA 23059-7639 · (804) 800-2500 · Fax (804) 800-2600
Phone(757) 610-8000
Organization SubpartNo
Authorized OfficialAnthony TylerCeo · (804) 800-2500
Enumeration DateApril 2, 2024
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1316799620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
4611 DOGWOOD SPRINGS LN APT 104, Glen Allen, VA 23059
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Secondary Practice Locations 3

Location 1429 Thorncliff DrNewport News, VA 23608-2301 · Phone (804) 800-2500 · Fax (804) 800-2600
Location 22400 Old Brick Rd Ste 206Glen Allen, VA 23060-5841 · Phone (804) 800-2500 · Fax (804) 800-2600
Location 3119 Richneck RdNewport News, VA 23608-3009 · Phone (804) 800-2500 · Fax (804) 800-2600

Other Identifiers 1

Medicaid30017798990001VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevity Mental Health Group LLC's NPI number?

The NPI number for Longevity Mental Health Group LLC is 1316799620. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Longevity Mental Health Group LLC located?

Longevity Mental Health Group LLC is located at 4611 Dogwood Springs Ln Apt 104, Glen Allen, VA 23059. The listed phone number is (757) 610-8000.

What is Longevity Mental Health Group LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Longevity Mental Health Group LLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.