Provider Demographics
NPI:1124780101
Name:ESSENTIAL HEALING SERVICES, LLC
Entity type:Organization
Organization Name:ESSENTIAL HEALING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CSAC
Authorized Official - Phone:757-797-6660
Mailing Address - Street 1:5705 LYNNHAVEN PARKWAY
Mailing Address - Street 2:SUITE 104 PMB 1144
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464
Mailing Address - Country:US
Mailing Address - Phone:757-797-6660
Mailing Address - Fax:
Practice Address - Street 1:5705 LYNNHAVEN PARKWAY
Practice Address - Street 2:SUITE 104 PMB 1144
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464
Practice Address - Country:US
Practice Address - Phone:757-797-6660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty