Healthcare Provider Details
I. General information
NPI: 1609438092
Provider Name (Legal Business Name): PEARLS CENTER OF HOPE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11923 CENTRE ST STE A3
CHESTER VA
23831-1702
US
IV. Provider business mailing address
PO BOX 3212
CHESTER VA
23831-8460
US
V. Phone/Fax
- Phone: 804-215-3558
- Fax: 804-215-3558
- Phone: 804-215-3558
- Fax: 804-533-6312
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
GAIL
Title or Position: CEO
Credential:
Phone: 804-215-3558