HIDDEN ROOTS MENTAL HEALTH LLC (NPI# 1679040976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679040976 |
Entity Type | Organization |
Organization Name | HIDDEN ROOTS MENTAL HEALTH LLC |
Practice Address |
205 E Broadway Ste 200 Hopewell VA 23860-2809 |
Practice Telephone | 8046292673 |
Mailing Telephone | 8046292673 |
Enumeration Date | 2018-10-25 |
Last Update Date | 2018-10-25 |
Authorized Official Name | JASMARY TINEO (QWNER) |
Authorized Official Telephone | 8046292673 |
Authorized Official Credential | QPPMH |
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 |
Street Address |
205 E BROADWAY STE 200 |
City | HOPEWELL |
State | VA |
Zip Code | 23860-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851862429 | Tameara Sloan | Specialist | 912 Sycamore Street, Hopewell, VA 23860 | 2018-12-07 |
1184100018 | Kirstin Marie Mckay | Registered Nurse | 411 W. Randolph Road, Hopewell, VA 23860 | 2018-07-13 |
1326556705 | Lenise Benzina Mazyck | Social Worker | 600 Winston Churchill Drive, 1c, Hopewell, VA 23860 | 2018-01-19 |
1003323163 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 2704 Oaklawn Blvd, Hopewell, VA 23860 | 2018-01-10 |
1568911261 | Sierra James | Counselor | 2004 Saint.thomas Road, Hopewell, VA 23860 | 2016-09-23 |
1588014484 | Trinity Plus 1 Transportation LLC | Non-emergency Medical Transport (VAN) | 108 N. 7th Avenue, Hopewell, VA 23860 | 2016-06-21 |
1275988909 | Live, Learn & Love, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4003 Jamestown Drive, Hopewell, VA 23860 | 2016-05-02 |
1972982031 | Mohammad Bhuiyan | Physical Therapist | 201 Eppes St, Hopewell, Heritage Healthcare,riverview On The Appomattox, Hopewell, VA 23860 | 2015-05-22 |
1982090494 | Pioneer Home Health, Inc. | Home Health | 740 S Bacons Chase, Hopewell, VA 23860 | 2015-04-10 |
1700220282 | Briggs Dwd Home Health Care LLC | Clinic/Center | 624 South 6 Avenue, Hopewell, VA 23860 | 2013-04-26 |
Find all providers in zip 23860 |
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 |
---|---|---|---|---|
1699170555 | Hopewell Counseling LLC | Clinic/Center | 83 Princeton Ave Ste 3a, Hopewell, NJ 08525-2020 | 2014-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
1104305945 | Aamen Services LLC | Clinic/Center | 1499 Tidewater Dr # B, Norfolk, VA 23504-2827 | 2018-08-13 |
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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.