Organization Active NPI

Your Wellness Inc

  • Peer Specialist
  • Portsmouth, VA
National Provider Identifier
1063102655
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
YOUR WELLNESS INC
Practice address
100 7TH St Ste 104
Portsmouth, VA 23704-4800
Phone
(757) 951-5270
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Deborah Ann Harris, RSPRS
Title
President
Phone
(757) 951-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

100 7TH St Ste 104
Portsmouth, VA 23704-4800

Mailing address

100 7TH St Ste 104
Portsmouth, VA 23704-4800
Phone (757) 951-5270

Other names 1

  • I AM NOT ASSOCIATED WITH A SCHOOL DISTRICT Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1063102655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH ST STE 104",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044800",
            "telephone_number": "757-951-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 7TH ST STE 104",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044800",
            "telephone_number": "757-951-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-951-5270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RSPRS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I AM NOT ASSOCIATED WITH A SCHOOL DISTRICT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.