Open Arms Mental Health Support Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1350-02-002 Issued in VA

Legal business name

OPEN ARMS MENTAL HEALTH SUPPORT SERVICES, LLC

Practice address

3108 N Parham Rd Ste 402a
Henrico, VA 23294-4415

Phone

(804) 330-6009

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Dawn Sykes

Title

Cao

Phone

(804) 928-5597

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Open Arms Mental Health Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Open Arms Mental Health Support Services, LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1891090981
  NPD tax ID

Locations

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1295253433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 N PARHAM RD STE 402A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 N PARHAM RD STE 402A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944415",
            "telephone_number": "804-330-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS MENTAL HEALTH SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "804-928-5597"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "1350-02-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Henrico, VA
• Providers in Henrico, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.