| Transforming Hearts, Llc | |
|
700 Monticello Ave Ste 350 Norfolk VA 23510-2529 | |
| (757) 937-9915 | |
| (757) 299-0833 |
| Full Name | Transforming Hearts, Llc |
|---|---|
| Speciality | Counselor |
| Location | 700 Monticello Ave Ste 350, Norfolk, Virginia |
| Authorized Official Name and Position | Nicole Harris (EXECUTIVE DIRECTOR/THERAPIST) |
| Authorized Official Contact | 7575375289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transforming Hearts, Llc 700 Monticello Ave Ste 350 Norfolk VA 23510-2529 Ph: (757) 937-9915 | Transforming Hearts, Llc 700 Monticello Ave Ste 350 Norfolk VA 23510-2529 Ph: (757) 937-9915 |
| NPI Number | 1154885366 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 8820440100 |
|---|---|
| Medicare Enrollment ID | O20240123001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154885366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nicole Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932699949 PECOS PAC ID: 0547612822 Enrollment ID: I20240123001979 |
| Provider Name | Annette Michelle Jones-mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952992612 PECOS PAC ID: 1456703651 Enrollment ID: I20240123002625 |
| Provider Name | Crystal Nachea Featherston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770344897 PECOS PAC ID: 8820438039 Enrollment ID: I20240503002375 |
| Provider Name | Chakia Nicole Stallings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942040894 PECOS PAC ID: 6709329048 Enrollment ID: I20240614003186 |
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