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Organization
BLISSFUL HEART, PLLC
Active
Organization
BLISSFUL HEART, PLLC
Active
Other names
RevHeal Wellness, Jacque Bliss Integrative Psychiatry, Jacque Bliss
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BLISS BOONE NP (OWNER/CEO)
(804) 847-0765
Entity
Organization
Contact information
Practice address
3104 SEMMES AVE, RICHMOND, VA 23225-3759
(804) 531-4180
(804) 250-9960
Mailing address
3104 SEMMES AVE, RICHMOND, VA 23225-3759
(804) 571-7315
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
09/14/2026
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