| Heedful Resolutions Behavioral Health Services, Llc | |
|
9562 Kings Charter Dr Ste 102 Ashland VA 23005-8065 | |
| (804) 503-5346 | |
| Not Available |
| Full Name | Heedful Resolutions Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9562 Kings Charter Dr Ste 102, Ashland, Virginia |
| Authorized Official Name and Position | Latoya Monique Harris (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 8045035346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heedful Resolutions Behavioral Health Services, Llc 9562 Kings Charter Dr Ste 102 Ashland VA 23005-8065 Ph: (804) 503-5346 | Heedful Resolutions Behavioral Health Services, Llc 9562 Kings Charter Dr Ste 102 Ashland VA 23005-8065 Ph: (804) 503-5346 |
| NPI Number | 1487334538 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 8628503547 |
|---|---|
| Medicare Enrollment ID | O20241130000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487334538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine Marie Trotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972841690 PECOS PAC ID: 9638563398 Enrollment ID: I20220223002881 |
| Provider Name | Latoya Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093323040 PECOS PAC ID: 9537694450 Enrollment ID: I20241205003865 |
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