Provider Demographics
NPI:1952198178
Name:VIYDA LLC
Entity type:Organization
Organization Name:VIYDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-483-0071
Mailing Address - Street 1:PO BOX 2079
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-8379
Mailing Address - Country:US
Mailing Address - Phone:540-483-0071
Mailing Address - Fax:
Practice Address - Street 1:5 E COURT ST STE 301
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1761
Practice Address - Country:US
Practice Address - Phone:540-483-0071
Practice Address - Fax:540-483-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty