Organization Active NPI

Heedful Resolutions Behavioral Health Services, LLC

  • Clinical Social Worker
  • Ashland, VA
National Provider Identifier
1487334538
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEEDFUL RESOLUTIONS BEHAVIORAL HEALTH SERVICES, LLC
Practice address
9562 Kings Charter Dr Ste 102
Ashland, VA 23005-8065
Phone
(804) 503-5346
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Ms. Latoya Monique Harris, LCSWNPI 1093323040
Title
Outpatient Therapist
Phone
(804) 503-5346

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9562 Kings Charter Dr Ste 102
Ashland, VA 23005-8065

Mailing address

9562 Kings Charter Dr Ste 102
Ashland, VA 23005-8065
Phone (804) 503-5346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241130000256 VA Part B Supplier - Clinic/Group Practice 8628503547 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, VA

National Provider Directory

National Provider Directory
Tax ID family
Heedful Resolutions Behavioral Health Services2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1487334538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9562 KINGS CHARTER DR STE 102",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058065",
            "telephone_number": "804-503-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9562 KINGS CHARTER DR STE 102",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058065",
            "telephone_number": "804-503-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEEDFUL RESOLUTIONS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "804-503-5346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.