EVELYN V. WHITEHEAD (NPI# 1861556615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861556615 |
| Entity Type | Individual |
| Full Name | EVELYN V. WHITEHEAD |
| Credential | LPC |
| Practice Address |
115 E Wythe St Petersburg VA 23803 |
| Mailing Address |
9313 Dabney Dr Sutherland VA 23885-9277 |
| Practice Telephone | 8047335383 |
| Practice Fax Number | 8047335384 |
| Mailing Telephone | 8048623432 |
| Mailing Fax Number | 8047335384 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003609 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MHN | 326766 | 01 |
| Street Address |
115 E WYTHE ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803 |
| 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 |
| 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 |
| 1104872019 | Mark Militana | Emergency Medicine | 804 South Adams Street, Petersburg, VA 23803 | 2006-05-25 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679147 | Supportive Solution LLC | Counselor | 325b Brown St, Petersburg, VA 23803-4247 | 2019-09-20 |
| 1083179451 | Amanda Hill | Counselor | 19531 Hunt Rd, Petersburg, IL 62675-6054 | 2019-02-09 |
| 1942778725 | Charity Kene Thompson | Counselor | 300 Addison Way Apt 5-1c, Petersburg, VA 23805-9180 | 2018-11-09 |
| 1427564202 | Felicia Michelle Smith | Counselor | 3555 S Crater Rd, Petersburg, VA 23805-9210 | 2017-12-15 |
| 1922549807 | Bonnie Cantu | Counselor | 2104 E 1st St, Petersburg, TX 79250 | 2017-03-13 |
| 1811447584 | Melissa O. Motley Moore | Counselor | 1920 Matoax Ave, Petersburg, VA 23805-2843 | 2016-10-06 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
| 1306270012 | Catherine Bockmier-sommers | Counselor | 21799 Hideaway Estates Rd, Petersburg, IL 62675-6282 | 2013-08-29 |
| 1588944151 | The Outreach Foundation, LLC | Counselor | 20 E Tabb St, Suite 201, Petersburg, VA 23803-4541 | 2011-08-26 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on EVELYN V. WHITEHEAD.
| 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.