Organization
EMERGING MINDS COMMUNITY SERVICES LLC
Active
Organization
EMERGING MINDS COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY GOODMAN LPC (COO)
(757) 650-2053
Entity
Organization
Contact information
Practice address
920 WILBORN AVE, SOUTH BOSTON, VA 24592-3128
(434) 471-7039
Mailing address
920 WILBORN AVE, SOUTH BOSTON, VA 24592-3128
(434) 471-7039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/14/2025
Last updated
05/28/2026
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