Provider Demographics
NPI:1699301788
Name:HARRISONBURG CENTER FOR HEALING LLC
Entity type:Organization
Organization Name:HARRISONBURG CENTER FOR HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-830-5443
Mailing Address - Street 1:94 CONFEDERATE ST
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-2809
Mailing Address - Country:US
Mailing Address - Phone:540-830-5443
Mailing Address - Fax:540-707-2190
Practice Address - Street 1:1041 RESERVOIR STREET
Practice Address - Street 2:SUITE A
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-830-5443
Practice Address - Fax:540-707-2190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1609219625OtherNPI