LIFE'S JOURNEY, LLC (NPI# 1639533672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639533672 |
| Entity Type | Organization |
| Organization Name | LIFE'S JOURNEY, LLC |
| Practice Address |
1401 Tidewater Dr Suite 7 Norfolk VA 23504-2840 |
| Practice Telephone | 7577146528 |
| Mailing Telephone | 7577146528 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | MRS. BENICIA HERNANDEZ GILL (CEO) |
| Authorized Official Telephone | 7577146528 |
| Authorized Official Credential | LPC, CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFE'S JOURNEY, LLC | 2551 Eltham Ave Ste F, Norfolk, VA 23513-2505 |
| Colorado Business Entities | Life's Journey, LLC | 1617 Gifford Dr, Longmont, CO 80501 |
| Street Address |
1401 TIDEWATER DR SUITE 7 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366494494 | Angela Myra Mercer | Internal Medicine | 1401 Tidewater Dr, Suite 1, Norfolk, VA 23504-2840 | 2006-05-17 |
| 1871784397 | Richard O. Wright, Md PC | Surgery | 1401 Tidewater Dr, Suite 6, Norfolk, VA 23504-2840 | 2007-08-08 |
| 1255478160 | Frank Mercer IIi | Podiatrist | 1401 Tidewater Dr, Suite 1, Norfolk, VA 23504-2840 | 2007-01-31 |
| 1467507871 | Richard Osborne Wright Sr. | Surgery | 1401 Tidewater Dr, Suite 6, Norfolk, VA 23504-2840 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| Find all providers in zip 23504 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104305945 | Aamen Services LLC | Clinic/Center | 1499 Tidewater Dr # B, Norfolk, VA 23504-2827 | 2018-08-13 |
| 1649822818 | The Relationship Center of Hampton Roads | Clinic/Center | 4615 Pleasant Ave Unit B, Norfolk, VA 23518-1920 | 2019-07-09 |
| 1245796275 | Robin Coley Wooling, Lpc, Atr, LLC | Clinic/Center | 919 W 21st St Ste B, Norfolk, VA 23517-1559 | 2019-02-14 |
| 1629588769 | Karen Woodhouse, LLC | Clinic/Center | 919 W 21st St Ste B, Norfolk, VA 23517-1559 | 2017-10-03 |
| 1972768513 | Louise B. Lubin, Ph.d. Ltd | Clinic/Center | 425 W 20th St, Suite 5, Norfolk, VA 23517-2128 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709615 | Life Worth Living Counseling, Ltd. | Clinic/Center | 223 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2020-10-30 |
| 1477150068 | Premier Mental Health Support | Clinic/Center | 490 Piney Forest Rd, Danville, VA 24540-4060 | 2020-10-06 |
| 1720609837 | Healthy Mind Pllc | Clinic/Center | 6551 Continental St, Williamsburg, VA 23188-7586 | 2020-04-29 |
| 1225661978 | Cavcity Counseling Inc. | Clinic/Center | 1020 Carrington Pl Fl 2, Charlottesville, VA 22901-1891 | 2020-02-20 |
| 1942855622 | Destine for Greatness, LLC | Clinic/Center | 1035 Bryce Ln, Virginia Beach, VA 23464-4500 | 2019-08-08 |
| 1407400203 | 360 Counseling & Services | Clinic/Center | 5509 Townsbury Terrrace, Chesterfield, VA 23832-9256 | 2019-07-30 |
| 1710449327 | Kemet Health One LLC | Clinic/Center | 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 | 2019-04-02 |
| 1134680796 | Your Path Counseling Center LLC | Clinic/Center | 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 | 2019-03-27 |
| 1245797083 | Reboot LLC | Clinic/Center | 7006 Old Reflection Dr, Mechanicsville, VA 23111-4284 | 2019-02-28 |
| 1679040976 | Hidden Roots Mental Health LLC | Clinic/Center | 205 E Broadway Ste 200, Hopewell, VA 23860-2809 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.