OrganizationActive
Justin'S Black Tea and Bread, a Tea Room LLC
NPI 1255684858 · Health Service Clinic/Center · Stafford, VA
Provider details
- NPI number
- 1255684858
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Proctor, President Ceo(703) 589-5432
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1001 Providence St
Ste 203
Stafford, VA 22554-8300
Phone: (703) 589-5432
Fax: (540) 657-9732
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Providence St
Stafford, VA 22554-8300
Other names (DBA / former)
- Doing business as
- Peoples Healthcare Facility
Registry dates
- Enumerated
- 2012-10-19
- Last updated
- 2012-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.