Overcomers Residential Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1569 Issued in VA

Legal business name

OVERCOMERS RESIDENTIAL SERVICES, LLC

Practice address

2519 Professional Rd
Suite a
North Chesterfield, VA 23235-3200

Phone

(804) 562-7874

Fax

(804) 482-2947

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Marcel Darryl Higgins

Title

Owner

Phone

(804) 562-7874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1114353463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238320009",
            "telephone_number": "804-562-7874",
            "fax_number": "804-482-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 PROFESSIONAL RD",
            "address_2": "SUITE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353200",
            "telephone_number": "804-562-7874",
            "fax_number": "804-482-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMERS RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "DARRYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-562-7874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Dale Ottofaro, MD
• Outreach Counseling Services Inc
• Outreach Residential Services, Inc.
• Zacharia Overby, DPT
• Overcomers Day Services, LLC
• Victoria Arlene Owens-Ardoin
• Alexandra Owens, PA
• Melissa Lyn Owens, MT-BC
• Owl Creek Counseling LLC
• Ozymandias Counseling, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.