In Harmony Wellness Ihw LLC
Organization Active NPI Social Worker · Hampton, VA
NPI 1477047546 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1477047546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- IN HARMONY WELLNESS IHW LLC
- Practice address
- 4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074 - Phone
- (757) 650-2953
- NPI assigned
- Jun 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Krystal Ortiz
- Title
- Credentialing Manager
- Phone
- (239) 980-4988
Practitioners 26
-
Lori L Ball, PMHCNS/FNP
-
Thomas Grady Bunch, LPC
-
Laura A Cook, LPC
-
Logan Ellington-Harrison, LCSW
-
Michael A Keefer, LPC
-
Rebecca Wolfe Keller, LCSW
-
Robert Timothy O'Byrne, APMH-NP/CNS
-
Regina R Sibal, PMHNP-BC
-
Isaac K Wood, M.D.
-
Sharon E Bloom, PSYD
-
Sharlene M Daley, PMHNP-BC
-
Elizabeth N Dosoretz, LCSW
-
Shawna Haley, LCSW
-
Cheryl Lumbard, FNP-C
-
Brittany N Mendo, PMHNP-BC
-
Katherine W Thornton, PMHNP-BC
-
Tanika Williams, APRN
-
James P Callis, MS, MPA, PA-C
-
Charles Stuckey, LCSW
-
Amanda M Cruz, LCSW
-
Amanda Diane Reef, MSW, LCSW
-
Omar Rieche, M.D.
-
Nahchina Gamble, PMHNP
-
Tyeshia Miller, DNP, APRN, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180919004095 | VA | Part B Supplier - Clinic/Group Practice | 1355692005 |
Receives reassigned benefits from 23 practitioners Practice locations: Chesapeake, VA; Hampton, VA; Virginia Beach, VA |
National Provider Directory
Locations
516 Innovation Dr
Ste 305
Chesapeake, VA 23320
Phone (757) 312-8221
516 Innovation Dr
Ste 334
Chesapeake, VA 23320
4020 Raintree Rd
Ste A
Chesapeake, VA 23321
Phone (757) 606-1377
4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377
4429 Bonney Rd
Virginia Beach, VA 23462
Phone (757) 606-1377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Social Worker |
104100000X | Yes | ||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X |
Addresses
Primary practice location
4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074
Mailing address
4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751
Other practice location 1
4429 Bonney Rd
Virginia Beach, VA 23462-3876
Phone (239) 223-2751
Other practice location 2
516 Innovation Dr Ste 334
Chesapeake, VA 23320-3866
Phone (239) 223-2751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841381019 | Medicaid | VA |
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.