Provider Demographics
NPI:1700832581
Name:HIGHER GROUND RECOVERY, INC
Entity Type:Organization
Organization Name:HIGHER GROUND RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALLI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-363-2583
Mailing Address - Street 1:8310 LANSDOWNE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3223
Mailing Address - Country:US
Mailing Address - Phone:804-363-2583
Mailing Address - Fax:
Practice Address - Street 1:4913 FITZHUGH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3540
Practice Address - Country:US
Practice Address - Phone:804-363-2583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010129303Medicaid