OPEN HEARTS CHRISTIAN COUNSELING


Address: 2530 Carriage Ln Apt 1d, Fredericksburg, VA 22401-7925
Phone: 7035931061

OPEN HEARTS CHRISTIAN COUNSELING (NPI# 1215534284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215534284
Entity Type Organization
Organization Name OPEN HEARTS CHRISTIAN COUNSELING
Practice Address 2530 Carriage Ln Apt 1d
Fredericksburg
VA 22401-7925
Practice Telephone 7035931061
Mailing Telephone 7035931061
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Authorized Official Name BRANDON CHRISTOPHER FITZGERALD-HOLLEY (DIRECTOR)
Authorized Official Telephone 8044826503
Authorized Official Credential BE.D,MDIV,MPA, D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Office Location

Street Address 2530 CARRIAGE LN APT 1D
City FREDERICKSBURG
State VA
Zip Code 22401-7925

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1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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1326510397 Elizabeth Parham Counselor 1600 Forestdale Dr, North Chesterfield, VA 23235-5645 2018-12-31
1629563606 Darren Crenshaw Counselor 101 E Franklin St Ste B, Richmond, VA 23219-2107 2018-06-22
1770090169 Angela S Buckner Counselor 1818 Centre Ave Nw, Roanoke, VA 24017-5534 2018-01-07
1447776653 David W Carlisle Counselor 5372 Lake Saponi Ter, Barboursville, VA 22923-1506 2017-08-18
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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Dataset Information

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.

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