Eminent Behavioral Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMINENT BEHAVIORAL HEALTH, LLC

Practice address

7631 Hull Street Rd Ste 300
North Chesterfield, VA 23235-6431

Phone

(804) 447-4145

Fax

(804) 918-2564

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Sandriel Moet-Jones King, CSAC, QPPMHNPI 1841988201

Title

Executive Director

Phone

(804) 617-3225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sandriel Moet-Jones King

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1841988201
  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1831787035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 HULL STREET RD STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356431",
            "telephone_number": "804-447-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 HULL STREET RD STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356431",
            "telephone_number": "804-447-4145",
            "fax_number": "804-918-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SANDRIEL",
        "authorized_official_middle_name": "MOET-JONES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-617-3225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSAC, QPPMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, 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 Apr 25, 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.