Honest Living LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

5434685 Issued in VA

Legal business name

HONEST LIVING LLC

Practice address

1859 Pender Ave
Petersburg, VA 23803-4733

Phone

(804) 733-4160

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Natalie Laverne Wilkerson

Title

Owner

Phone

(804) 733-4160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1790176899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 PENDER AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 PENDER AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034733",
            "telephone_number": "804-733-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEST LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-733-4160"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "5434685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.