Organization Active NPI

Guided Heart LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Petersburg, VA
National Provider Identifier
1912606757
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GUIDED HEART LLC
Practice address
1856 Ramblewood Rd
Petersburg, VA 23805-2938
Phone
(804) 926-1188
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Ms. Amy DanceNPI 1437849981
Title
Ceo/Owner
Phone
(804) 926-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1856 Ramblewood Rd
Petersburg, VA 23805-2938

Mailing address

1856 Ramblewood Rd
Petersburg, VA 23805-2938
Phone (804) 926-1188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1912606757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 RAMBLEWOOD RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052938",
            "telephone_number": "804-926-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 RAMBLEWOOD RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052938",
            "telephone_number": "804-926-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "DANCE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-926-1188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.