Provider Demographics
NPI: | 1417835877 |
---|---|
Name: | SKB SERVICES LLC |
Entity type: | Organization |
Organization Name: | SKB SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | STEVEN |
Authorized Official - Middle Name: | KEITH |
Authorized Official - Last Name: | BEARD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | QMHP |
Authorized Official - Phone: | 804-479-0027 |
Mailing Address - Street 1: | 520 WALNUT ST |
Mailing Address - Street 2: | |
Mailing Address - City: | PETERSBURG |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23803-5765 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 804-479-0027 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 520 WALNUT ST |
Practice Address - Street 2: | |
Practice Address - City: | PETERSBURG |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23803-5765 |
Practice Address - Country: | US |
Practice Address - Phone: | 804-479-0027 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-08-25 |
Last Update Date: | 2025-08-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | ||
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 251B00000X | Agencies | Case Management | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | |
No | 347C00000X | Transportation Services | Private Vehicle | ||
No | 347E00000X | Transportation Services | Transportation Broker |