SUPPORTIVE SOLUTION LLC (NPI# 1124679147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124679147 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE SOLUTION LLC |
| Practice Address |
325b Brown St Petersburg VA 23803-4247 |
| Mailing Address |
325-b Brown Street Suite 130 Petersburg VA 23803 |
| Practice Telephone | 8044426298 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | SHELBY HARRIS (OWNER) |
| Authorized Official Telephone | 4346031646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Supportive Solution LLC | 11427 Cedar Run Rd, South Prince George, Virginia 23805 |
| Street Address |
325B BROWN ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132151 | Anthony Jerome Blalock Jr. | Counselor | 210 Lily Way Apt 3b, Petersburg, VA 23805-9161 | 2018-01-12 |
| 1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
| 1730432907 | H-n-r Residential Services | Counselor | 19410 Indian Rd, Petersburg, VA 23805-8819 | 2012-10-24 |
| 1952309528 | Good Samaritan Hospital | Counselor | 611 E Main St, Suite 110, Petersburg, IN 47567-1267 | 2005-07-08 |
| 1174135461 | Samuel J Northington Jr. | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-08-19 |
| 1407472012 | Virginia's Love, LLC | Counselor | 300 Addison Way Apt 5-1c, Petersburg, VA 23805-9180 | 2020-06-19 |
| 1033676853 | Family Preservation Services, Inc. | Counselor | 1450 Talley Ave, Petersburg, VA 23803-5957 | 2019-02-28 |
| 1104288737 | Ashely Ryan | Counselor | 20 W Bank St, Suite 5, Petersburg, VA 23803-3279 | 2016-03-23 |
| 1336542596 | Envision One Outpatient Services, LLC | Counselor | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2014-10-02 |
| 1720163652 | Hhc Poplar Springs Hospital Inc | Counselor | 350 Poplar Dr, Petersburg, VA 23805-9367 | 2006-10-26 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on SUPPORTIVE SOLUTION LLC.
| 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.