Organization Active NPI

Thriving Well Holistic Wellness Solutions

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1346868288
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THRIVING WELL HOLISTIC WELLNESS SOLUTIONS
Practice address
250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505
Phone
(757) 303-1795
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Ms. La'Toya Nicole Edwards, LCSWNPI 1659870962
Title
Ceo
Phone
(757) 303-1795

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505

Mailing address

250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505
Phone (757) 303-1795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@latoyaedwardslcsw.com

National Provider Directory

National Provider Directory

Locations

250 W Brambleton Ave
Ste 101
Norfolk, VA 23510
Phone (757) 450-7660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1346868288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-303-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-303-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING WELL HOLISTIC WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LA'TOYA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-303-1795",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@latoyaedwardslcsw.com",
            "affiliation": "N",
            "address_1": "250 W Brambleton Ave Ste 101",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235101505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.