Healing for Advancement LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALING FOR ADVANCEMENT LLC

Practice address

4603 Brickwood Meadow Dr
North Dinwiddie, VA 23803-8875

Phone

(804) 895-8450

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lacresha EllisNPI 1942876966

Title

Owner

Phone

(804) 895-8450

Specialties & licenses 1

Addresses

Other names 1

• Healing for Advancement LLC Former legal business name

Practitioners 1

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.

• Lacresha Ellis

  • Non-emergency Medical Transport (VAN)
  • North Dinwiddie, VA
  • NPI 1942876966
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1629843719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 BRICKWOOD MEADOW DR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038875",
            "telephone_number": "804-895-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 BRICKWOOD MEADOW DR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038875",
            "telephone_number": "804-895-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING FOR ADVANCEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LACRESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-895-8450"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing for Advancement LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chasidy Hale
• Natalie E Hall, PMHNP
• Amanda Rose Hallman, CNM
• Jaymelyn Hansen, COTA/L
• Latrina M Hart, CNA/ MEDICATION AIDE
• Deborah Hudgins
• Zachary Allen Ingram, PMHNP-BC
• Kendra Johnson
• Felicia Ann Kelsey, LPC, LSATP, LCPC,
• Rachel Kurowsky, PMHNP

• Mental Health Counselor in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.