Organization Active NPI

The Nova Wellness Group, LLC.

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1205620267
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE NOVA WELLNESS GROUP, LLC.
Practice address
8401 Mayland Dr # 4685
Henrico, VA 23294-4648
Phone
(804) 854-5613
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Latroya Tucker, LCSWNPI 1912680570
Title
Owner Psychotherapist
Phone
(804) 854-5613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8401 Mayland Dr # 4685
Henrico, VA 23294-4648

Mailing address

8401 Mayland Dr # 4685
Henrico, VA 23294-4648
Phone (804) 854-5613

Other names 1

  • The Nova Wellness Group, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8401 Mayland Dr
#4685
Henrico, VA 23294
Phone (804) 854-5613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1205620267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 4685",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "804-854-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 4685",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "804-854-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOVA WELLNESS GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LATROYA",
        "authorized_official_title_or_position": "OWNER PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "804-854-5613",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nova Wellness Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.