The Healing Fountain, Llc in Virginia Beach - Clinical
The Healing Fountain, Llc - NPI 1609807304
The Healing Fountain, Llc is a Clinical in Virginia Beach, Virginia. The Healing Fountain, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for The Healing Fountain, Llc is 1609807304. The last update date is 2009-09-14.
The Healing Fountain, Llc's current location address is 762 Independence Blvd, Virginia Beach, Virginia. You can contact this provider via phone number 7574861807 and fax number 7574860901. The mailing address for The Healing Fountain, Llc is 762 Independence Blvd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Healing Fountain, Llc |
|---|---|
| Address | 762 Independence Blvd, Virginia Beach, Virginia |
| Phone Number | 7574861807 |
| Fax Number | 7574860901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hopkins J Pamela |
| Credentials | LCSW |
| Telephone Number | 7574861807 |
NPI Number Detail
| NPI Number | 1609807304 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2009-09-14 |
Provider Mailing Address Detail
| Address | 762 Independence Blvd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234556200 |
| Phone Number | 7574861807 |
| Fax Number | 7574860901 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904003726 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 087506M | VA | OPTIMA | |
| 8931909 | VA | -- | |
| 89750 | VA | BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to The Healing Fountain, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The The Healing Fountain, Llc has been assigned the NPI (National Provider Identifier) 1609807304. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the The Healing Fountain, Llc's physical address?
The The Healing Fountain, Llc is physically located at 762 Independence Blvd, in the city of Virginia Beach, VA, with the postal code 234556200.
What is The Healing Fountain, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for The Healing Fountain, Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the The Healing Fountain, Llc receive the assignment of its 1609807304 from the Centers for Medicare & Medicaid Services?
The The Healing Fountain, Llc was issued its 1609807304 by the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the The Healing Fountain, Llc's information last updated?
The The Healing Fountain, Llc's information was last updated on 2009-09-14.
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