# HEART & SOUL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Excursions Psychosocial Rehabilitation, MMBR MHSS, Crispell House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881936748
- **Authorized official:** DR. EDNORA B. MASON DNP, APRN, PMHNP-BC (CLINICIAN)
- **Authorized official phone:** (757) 342-5461

## Contact information

- **Practice address:** 6147 JEFFERSON AVE, NEWPORT NEWS, VA 23605-1511
- **Practice address phone:** (757) 826-1300
- **Practice address fax:** (804) 482-3761
- **Mailing address:** 1414 CRISPELL CT, HAMPTON, VA 23666-2427
- **Mailing address phone:** (757) 838-3970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2013
- **Last updated:** 11/24/2025