Provider Demographics
NPI:1912788969
Name:RELIEF HEALING MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:RELIEF HEALING MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GAWUM
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:703-586-5665
Mailing Address - Street 1:7551 SOMERSET CROSSING DR # 103
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4873
Mailing Address - Country:US
Mailing Address - Phone:703-987-7141
Mailing Address - Fax:
Practice Address - Street 1:14808 KEAVY RIDGE CT
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-5404
Practice Address - Country:US
Practice Address - Phone:703-586-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service