COMMUNITY WELLNESS & SUPPORT, LLC
NPI 1740766161
Substance Abuse Rehabilitation Facility in Petersburg, VA

Active since July 18, 2018
34 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805(804) 909-2891(804) 441-9089 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Wellness & Support, Llc NPPES

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

COMMUNITY WELLNESS & SUPPORT, LLC (NPI 1740766161) is a healthcare organization registered as a substance abuse rehabilitation facility in Petersburg, Virginia and active in the NPI registry since July 2018. The organization lists Clarence Harris, Director Of Services, as its authorized official.

NPPES Registry Identity

NPI1740766161
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOMMUNITY WELLNESS & SUPPORT, LLC
Location Address34 MEDICAL PARK BLVD STE APetersburg, VA 23805-9283
Mailing Address34 Medical Park Blvd Ste APetersburg, VA 23805-9283 · Fax (804) 441-9089
Fax(804) 441-9089
Organization SubpartNo
Authorized OfficialClarence HarrisDirector Of Services · (804) 909-2891
Enumeration DateJuly 18, 2018
NPI 1740766161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
34 MEDICAL PARK BLVD STE A, Petersburg, VA 23805

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
34 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Case Manager/Care Coordinator
34 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Social Worker (Clinical)
34 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Substance Abuse Rehabilitation Facility
34 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Clinic/Center
34 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805

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 Community Wellness & Support, LLC's NPI number?

The NPI number for Community Wellness & Support, LLC is 1740766161. It was assigned to this organization in the NPPES registry on July 18, 2018.

Where is Community Wellness & Support, LLC located?

Community Wellness & Support, LLC is located at 34 Medical Park Blvd Ste A, Petersburg, VA 23805. The listed phone number is (804) 909-2891.

What is Community Wellness & Support, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Community Wellness & Support, LLC was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.