STRUCTURED LIVING LLC (NPI# 1760998496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760998496 |
| Entity Type | Organization |
| Organization Name | STRUCTURED LIVING LLC |
| Practice Address |
8500 Bell Creek Rd Mechanicsville VA 23116-3826 |
| Practice Telephone | 8042773635 |
| Mailing Telephone | 8042773635 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | MR. JAMALL TRIMAINE MINOR (PROGRAM MANAGER) |
| Authorized Official Telephone | 8042522704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2040-05-001 | VA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STRUCTURED LIVING LLC | 10 Sampson St, Jamestown, Ny 14701 |
| Street Address |
8500 BELL CREEK RD |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734587 | Katharine Marie Poe | Counselor | 8475 Bell Creek Rd, Mechanicsville, VA 23116-3866 | 2020-06-10 |
| 1922587625 | Christine Oglesby Family Therapy Pllc | Counselor | 7147 Brandy Hill Ter Apt 202, Mechanicsville, VA 23111 | 2018-08-13 |
| 1982195012 | Joseph White | Counselor | 8104 Elm Dr Ste A, Mechanicsville, VA 23111-1106 | 2018-05-24 |
| 1710496161 | Jason Burkhead | Counselor | 8389 Marc Gregory Ct, Mechanicsville, VA 23116-2467 | 2017-09-28 |
| 1003337924 | Jeffrey S Parsons | Counselor | 7308 Hanover Green Dr Ste 300, Mechanicsville, VA 23111-1793 | 2017-06-30 |
| 1104360296 | Sterling Price Travis | Counselor | 8249 Crown Colony Pkwy # Va23116, Pkwy #200, Mechanicsville, VA 23116-4057 | 2016-12-08 |
| 1992052542 | Kendria Pierce | Counselor | 7293 Hanover Green Dr Ste B104, Mechanicsville, VA 23111-1772 | 2012-08-13 |
| 1871895284 | Susann-nicole Giesela Schwarz | Counselor | 8011b Bell Creek Road, Mechanicsville, VA 23111 | 2010-11-18 |
| 1922138338 | Rhonda M Dungan | Counselor | 7463 Brook Way Ct, Mechanicsville, VA 23111-1965 | 2007-03-06 |
| 1396815163 | Linda M. Walsh | Counselor | 7284 Hanover Green Dr # B, Mechanicsville, VA 23111-1706 | 2006-11-09 |
| Find all providers in MECHANICSVILLE | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
Please comment or provide details below to improve the information on STRUCTURED LIVING 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.