Organization
HEALTHY MINDS SUPPORTIVE INTERVENTIONS
Active
Organization
HEALTHY MINDS SUPPORTIVE INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIAJAH AISHAH MAY QMHP-A/C (CEO)
(434) 294-5601
Entity
Organization
Contact information
Practice address
115 S SYCAMORE ST, PETERSBURG, VA 23803-4279
(434) 294-5601
(804) 722-4001
Mailing address
115 S SYCAMORE ST, PETERSBURG, VA 23803-4279
(434) 294-5601
(804) 722-4001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up