Mama's House, LLC.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MAMA'S HOUSE, LLC.

Practice address

2847 Stanwix LN
North Chesterfield, VA 23234-5041

Phone

(804) 716-7214

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Loretta A McCray

Title

Owner

Phone

(804) 541-1529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1518316975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 STANWIX LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 STANWIX LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345041",
            "telephone_number": "804-716-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA'S HOUSE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-541-1529"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Maiden, FNP
• Lauren Guridy Maino, AUD
• Michael D Maldonado, M.D.
• Emma Mallalieu, DPT
• Blair Mallory, OTR
• Manifestini Coaching and Consulting LLC (Manifestini Wellness)
• Garrett Manno
• Rasha Manoppo
• Marie C. Marant, M.S., CCC-SLP, CMT
• Gregory B Marcelle Jr., M.ED., LPC, CAADC

• Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.