Samone Boyd

Individual provider Active NPI Community/Behavioral Health Agency · Aylett, VA

NPI 1710686647 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1710686647
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
1144 Rosebud Run
Aylett, VA 23009-4120
Phone
(804) 490-5953
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Faithhopelove, LLC Community/Behavioral Health Current
since May 28, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1144 Rosebud Run
Aylett, VA 23009-4120

Mailing address

1144 Rosebud Run
Aylett, VA 23009-4120
Phone (804) 490-5953

Other providers in Aylett, VA

All providers in Aylett, VA · Community/Behavioral Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.