Provider Demographics
NPI:1821808288
Name:SACRED JOY, LLC
Entity type:Organization
Organization Name:SACRED JOY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:HELENA
Authorized Official - Last Name:ANATOLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PSYD
Authorized Official - Phone:757-969-9716
Mailing Address - Street 1:113 W LANDING
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-8255
Mailing Address - Country:US
Mailing Address - Phone:757-969-9716
Mailing Address - Fax:
Practice Address - Street 1:491 MCLAWS CIR STE 2
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6342
Practice Address - Country:US
Practice Address - Phone:757-969-9716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)