Organization Active NPI

Envisions Youth & Family Services, LLC

  • Community/Behavioral Health Agency
  • Suffolk, VA
National Provider Identifier
1295428282
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 26, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.