| Grateful Beginnings LLC | |
|
11321 Walton Lake Rd Disputanta VA 23842-4510 | |
| (804) 930-3280 | |
| Not Available |
| Full Name | Grateful Beginnings LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11321 Walton Lake Rd, Disputanta, Virginia |
| Authorized Official Name and Position | Tyesha Shaw (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8049303280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grateful Beginnings LLC 11321 Walton Lake Rd Disputanta VA 23842-4510 Ph: (804) 930-3280 | Grateful Beginnings LLC 11321 Walton Lake Rd Disputanta VA 23842-4510 Ph: (804) 930-3280 |
| NPI Number | 1184330821 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184330821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 251S00000X | Community/behavioral Health | () | Secondary |
Ascending Phoenix Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5349 Baxter Rd, Disputanta, VA 23842 Phone: 757-362-6691 |
Cedar Grove Psychological Services, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11455 Hawks Perch Ct, Disputanta, VA 23842 Phone: 804-821-0770 Fax: 804-821-0790 |