Active NPI
Envisions Youth & Family Services, LLC
- Community/Behavioral Health Agency
- Suffolk, VA
National Provider Identifier
1295428282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ENVISIONS YOUTH & FAMILY SERVICES, LLC
- Practice address
- 4433 Godwin Blvd Ste E
Suffolk, VA 23434-6927 - Phone
- (757) 450-5854
- Fax
- (866) 871-5839
- NPI assigned
- May 26, 2023
- 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
- Natarsha Shanta Hardy
- Title
- Founder/Executive Director
- Phone
- (757) 450-5854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4433 Godwin Blvd Ste E
Suffolk, VA 23434-6927
Mailing address
4433 Godwin Blvd Ste E
Suffolk, VA 23434-6927
Phone (757) 450-5854
National Provider Directory
National Provider DirectoryLocations
4433 Godwin Blvd
Ste E
Suffolk, VA 23434
Phone (757) 255-2050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685059200000",
"number": "1295428282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4433 GODWIN BLVD STE E",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346927",
"telephone_number": "757-450-5854",
"fax_number": "866-871-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 GODWIN BLVD STE E",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346927",
"telephone_number": "757-450-5854",
"fax_number": "866-871-5839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISIONS YOUTH & FAMILY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "NATARSHA",
"authorized_official_middle_name": "SHANTA",
"authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "757-450-5854"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.