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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAMBA WILSON

Active Sole Proprietor

SHAMBA WILSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in CHESAPEAKE, Virginia. NPI 1083402200 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · CHESAPEAKE, VA

Registration Details

NPI Number
1083402200
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2025 (1.1151550172736 yrs)
Last Updated
Apr 28, 2025
Sole Proprietor
Yes

Practice Information

Address
1332 GUST LN
CHESAPEAKE, VA, 233232930
Browse VA providers · Browse ZIP 23323
Phone
7572700526

Other Emotionally Disturbed Children Residential Treatment Providers in CHESAPEAKE, VA

Name Credential NPI
GAIL R HARDYBOYD 1851821243
NATHANIEL LITTLE JR. 1447906151
MRS. KEYSHA NICOLE SPARROW 1770355489
MILTON RAWLES 1659193654
MARNYA BOST 1801773486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.