Provider Demographics
NPI:1578318077
Name:THE HEALING PLACE OF VIRGINIA, LLC
Entity Type:Organization
Organization Name:THE HEALING PLACE OF VIRGINIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:757-724-4670
Mailing Address - Street 1:4024 ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-5457
Mailing Address - Country:US
Mailing Address - Phone:757-724-4670
Mailing Address - Fax:
Practice Address - Street 1:4024 ESTATES LN
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-5457
Practice Address - Country:US
Practice Address - Phone:757-724-4670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health