Organization
ACACIA HEALTH PARTNERS
Active
Other names
Amend Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
NASR RABBI BASIR BALLA APRN, PMHNP-BC (OWNER)
(804) 687-5601
Entity
Organization
Contact information
Practice address
320 E BROADWAY STE 214, HOPEWELL, VA 23860-2812
(804) 687-5601
Mailing address
320 E BROADWAY STE 214, HOPEWELL, VA 23860-2812
(804) 687-5601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024182223
NURSE PRACTITIONER LICENSE
VA
01
—
1962075572
NPI
VA
Enumeration date
06/05/2022
Last updated
06/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us