PROSPERITY EATING DISORDER AND WELLNESS (NPI# 1396193157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396193157 |
| Entity Type | Organization |
| Organization Name | PROSPERITY EATING DISORDER AND WELLNESS |
| Practice Address |
709 W Main St Charlottesville VA 22903-4570 |
| Mailing Address |
1031 Sterling Rd Ste 203 Herndon VA 20170-3873 |
| Practice Telephone | 4343264577 |
| Mailing Telephone | 7034465150 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | HEATHER BAKER (DIRECTOR) |
| Authorized Official Telephone | 4343264577 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073048302 | Prosperity Eating Disorder and Wellness | Counselor | 1031 Sterling Rd Ste 203, Herndon, VA 20170-3873 | 2017-04-24 |
| Street Address |
709 W MAIN ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874343 | Rebekah Harter | Dietitian, Registered | 709 W Main St, A, Charlottesville, VA 22903-4570 | 2016-11-22 |
| 1538601364 | Prosperity Eating Disorders and Wellness | Counselor | 709 W Main St, Charlottesville, VA 22903-4570 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711902 | Charlottesville Hyperbarics Corp | Clinic/Center | 925-a E Jefferson St, Charlottesville, VA 22902-5573 | 2020-05-12 |
| 1639642358 | C-luminous Eyecare, Inc. | Clinic/Center | 1638 Rio Rd E, Charlottesville, VA 22901-1405 | 2019-01-04 |
| 1891142576 | Virginia Neurodiagnostics, LLC | Clinic/Center | 440 Premier Cir Ste 230, Charlottesville, VA 22901-1724 | 2016-05-23 |
| 1043728439 | Rachel Hallmark Md LLC | Clinic/Center | 375 Four Leaf Ln Ste 202, Charlottesville, VA 22903-6905 | 2018-01-19 |
| 1497135784 | Eyebrow Renovation & Permanent Makeup | Clinic/Center | 100 2nd St Nw, Charlottesville, VA 22902-5193 | 2015-06-02 |
| 1699170985 | Tms Neurohealth Centers Charlottesville LLC | Clinic/Center | 675 Peter Jefferson Pkwy, Suite 210, Charlottesville, VA 22911-8618 | 2014-10-29 |
| 1205061751 | Blue Ridge Chiropractic and Massage Therapy Center | Clinic/Center | 1550 Insurance Ln, Charlottesville, VA 22911-7229 | 2009-05-27 |
| 1356554034 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 630 Peter Jefferson Pkwy, Ste. 180, Charlottesville, VA 22911-8605 | 2007-05-08 |
| 1700939329 | The Rector and Visitors of The University of Virginia | Clinic/Center | 2955 Ivy Rd, Charlottesville, VA 22903-9353 | 2007-01-18 |
| 1609929223 | The Rector and Visitors of The University of Virginia | Clinic/Center | 545 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2007-01-18 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on PROSPERITY EATING DISORDER AND WELLNESS.
| 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.