Sunnydaze Holistic Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUNNYDAZE HOLISTIC COUNSELING SERVICES, LLC

Practice address

1905 Huguenot Rd Ste 305
North Chesterfield, VA 23235-4312

Phone

(804) 221-8351

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Portia HairstonNPI 1619413812

Title

Owner

Phone

(804) 221-8351

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Portia Hairston, LCSW

  • Clinical Social Worker
  • Beaverdam, VA
  • NPI 1619413812
  NPD Authorized official

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1669093274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 BUCKFAST PL",
            "city": "BEAVERDAM",
            "state": "VA",
            "postal_code": "230151571",
            "telephone_number": "804-221-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HUGUENOT RD STE 305",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354312",
            "telephone_number": "804-221-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYDAZE HOLISTIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-221-8351"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@sunnydazeholisticcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1905 Huguenot Rd Ste 305",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.