Active NPI
The Nova Wellness Group, LLC.
- Clinical Social Worker
- Henrico, VA
National Provider Identifier
1205620267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latroya Tucker, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1912680570
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"
}
]
}
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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.