Provider Demographics
NPI:1457192502
Name:GATHERING HEARTS SERVICES
Entity type:Organization
Organization Name:GATHERING HEARTS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:CORINE
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-769-0546
Mailing Address - Street 1:3692 S PLAZA TRL STE 9
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-3360
Mailing Address - Country:US
Mailing Address - Phone:757-769-0546
Mailing Address - Fax:
Practice Address - Street 1:3692 S PLAZA TRL STE 9
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-3360
Practice Address - Country:US
Practice Address - Phone:757-769-0546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services