Active NPI
Grace Recovery and Wellness Center
- Addiction (Substance Use Disorder) Counselor
- North Chesterfield, VA
National Provider Identifier
1174066955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- GRACE RECOVERY AND WELLNESS CENTER
- Practice address
- 8217 Hull Street Rd
North Chesterfield, VA 23235-6413 - Phone
- (804) 399-9042
- Fax
- (877) 244-4588
- NPI assigned
- Nov 28, 2016
- Last updated
- Nov 28, 2016
- Organization subpart
- Yes
- Parent organization
- DAILY GRACE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon L Taha, CPRP
- Title
- Executive Director
- Phone
- (804) 399-9042
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
8217 Hull Street Rd
North Chesterfield, VA 23235-6413
Mailing address
PO Box 3382
Glen Allen, VA 23058-3382
Phone (804) 399-9042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982901245 | Other | VA | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Daily Grace LLC
- Part of
- Daily Grace LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1982901245
Locations
8217 Hull Street Rd
North Chesterfield, VA 23235
Phone (804) 399-9042
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1982901245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480291200000",
"number": "1174066955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3382",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230583382",
"telephone_number": "804-399-9042",
"fax_number": "877-244-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8217 HULL STREET RD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232356413",
"telephone_number": "804-399-9042",
"fax_number": "877-244-4588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE RECOVERY AND WELLNESS CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAILY GRACE LLC",
"enumeration_date": "2016-11-28",
"last_updated": "2016-11-28",
"status": "A",
"authorized_official_last_name": "TAHA",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "804-399-9042",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPRP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1982901245",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.