Provider Demographics
NPI:1346709615
Name:HELPING HANDS SUPPORTIVE SERVICES, LLC
Entity Type:Organization
Organization Name:HELPING HANDS SUPPORTIVE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FAYESHON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BA, QMHP
Authorized Official - Phone:804-454-0038
Mailing Address - Street 1:1716 E HUNDRED RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-3301
Mailing Address - Country:US
Mailing Address - Phone:804-454-0038
Mailing Address - Fax:
Practice Address - Street 1:1716 E HUNDRED RD STE 103
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-3301
Practice Address - Country:US
Practice Address - Phone:804-454-0038
Practice Address - Fax:804-454-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-17
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health