Organization
VA'S HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA WILLIAMS (CEI)
(757) 375-7287
Entity
Organization
Contact information
Practice address
3458 TWENTY-TWO RD, PAMPLIN, VA 23958
(757) 375-7287
Mailing address
3458 TWENTY-TWO RD, PAMPLIN, VA 23958
(757) 375-7287
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999999
N/A
VA
Enumeration date
04/15/2021
Last updated
04/15/2021
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