Organization
HEART & SOUL LLC
Active
Other names
Community Excursions Psychosocial Rehabilitation, MMBR MHSS, Crispell House
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDNORA B. MASON DNP, APRN, PMHNP-BC (CLINICIAN)
(757) 342-5461
Entity
Organization
Contact information
Practice address
6147 JEFFERSON AVE, NEWPORT NEWS, VA 23605-1511
(757) 826-1300
(804) 482-3761
Mailing address
1414 CRISPELL CT, HAMPTON, VA 23666-2427
(757) 838-3970
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/19/2013
Last updated
11/24/2025
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