HEARTSPACE COUNSELING, PLC (NPI# 1770046120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770046120 |
| Entity Type | Organization |
| Organization Name | HEARTSPACE COUNSELING, PLC |
| Practice Address |
2502 Broadway Ave Sw Uppr Unit Roanoke VA 24014-1663 |
| Practice Telephone | 5409291909 |
| Practice Fax Number | 8777758177 |
| Mailing Telephone | 5409291909 |
| Mailing Fax Number | 8777758177 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | ROBIN L. WILEY (OWNER/DIRECTOR) |
| Authorized Official Telephone | 5059206554 |
| Authorized Official Credential | LPC, RPT-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 03871347 | 05 |
| Street Address |
2502 BROADWAY AVE SW UPPR UNIT |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352645 | Victor M Rivera Sink | Counselor | 637 Webster Heights Rd, Roanoke, VA 24012-8988 | 2020-10-01 |
| 1902427495 | Lance Crawford | Counselor | 17 Church Ave Sw Apt 303, Roanoke, VA 24011-2011 | 2020-05-06 |
| 1992325344 | Joy-filled Counseling, Pllc | Counselor | 15600 Yarberry Dr, Roanoke, TX 76262-3364 | 2020-04-24 |
| 1881226173 | Shelby M Wynn | Counselor | 1942 Fairhope Rd Nw, Roanoke, VA 24017-1708 | 2020-02-05 |
| 1215587423 | Tara Hutcheson | Counselor | 846 Campbell Ave Sw, Roanoke, VA 24016-3536 | 2019-09-19 |
| 1437702461 | John Aubrey Hosey | Counselor | 3023 Peters Creek Rd Nw Ste B, Roanoke, VA 24019-2758 | 2019-07-18 |
| 1740846773 | Heather Erin Hamed-moore | Counselor | 541 Luck Ave Sw Ste 209, Roanoke, VA 24016-5055 | 2019-05-15 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1053848507 | Natalie Sanders | Counselor | 4537 Hammond Ln, Roanoke, VA 24018-3921 | 2017-05-15 |
| 1659817823 | Patricia Salcedo | Counselor | 209 Travis St Ste 102, Roanoke, TX 76262-8605 | 2017-01-12 |
| Find all providers in ROANOKE | ||||
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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.