GRACE RECOVERY AND WELLNESS CENTER (NPI# 1174066955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174066955 |
| Entity Type | Organization |
| Organization Name | GRACE RECOVERY AND WELLNESS CENTER |
| Practice Address |
8217 Hull Street Rd North Chesterfield VA 23235-6413 |
| Mailing Address |
Po Box 3382 Glen Allen VA 23058-3382 |
| Practice Telephone | 8043999042 |
| Practice Fax Number | 8772444588 |
| Mailing Telephone | 8043999042 |
| Mailing Fax Number | 8772444588 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | MS. SHARON L TAHA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8043999042 |
| Authorized Official Credential | CPRP |
| Is Organization Subpart | Y |
| Parent Organization Name | DAILY GRACE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1982901245 | 01 |
| Street Address |
8217 HULL STREET RD |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23235-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831734730 | Gregory B Marcelle Jr. | Counselor | 5927 Belston Ct, North Chesterfield, VA 23234-3214 | 2019-11-14 |
| 1255849634 | Elmira Natishsa Luckey | Counselor | 3117 Newington Ct, North Chesterfield, VA 23224-5737 | 2018-01-19 |
| 1134634736 | Kimberly Mondezie | Counselor | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2017-12-06 |
| 1760936918 | Hollie Miles | Counselor | 1905 Huguenot Rd Ste 303c, North Chesterfield, VA 23235 | 2016-08-04 |
| 1962878322 | Css & Associates LLC | Counselor | 302 Turner Rd Ste J-k, North Chesterfield, VA 23225-6433 | 2015-08-19 |
| 1932515046 | Nancy Ellmann Leonard | Counselor | 10049 Midlothian Tpke Ste B2, North Chesterfield, VA 23235-4859 | 2014-07-09 |
| 1932719168 | Steven Wilburn Kent | Counselor | 10049 Midlothian Tpke Ste B2, North Chesterfield, VA 23235-4859 | 2020-08-03 |
| 1396372389 | John J Shumate IIi | Counselor | 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 | 2020-03-27 |
| 1275173353 | Therapeutic Treatment Center | Counselor | 302 Turner Rd Ste D, North Chesterfield, VA 23225-6433 | 2020-01-07 |
| 1972018265 | Patricia Deane Owens | Counselor | 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 | 2017-12-08 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
Please comment or provide details below to improve the information on GRACE RECOVERY AND WELLNESS CENTER.
| 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.