Healthcare Provider Details

I. General information

NPI: 1164353488
Provider Name (Legal Business Name): HART TO HEALING THERAPY & CONSULTANT SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 WATERSIDE DR STE 2525
NORFOLK VA
23510-3316
US

IV. Provider business mailing address

999 WATERSIDE DR STE 2525
NORFOLK VA
23510-3316
US

V. Phone/Fax

Practice location:
  • Phone: 757-271-3646
  • Fax: 757-918-8534
Mailing address:
  • Phone: 757-271-3646
  • Fax: 757-918-8534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KEVEATTE HARTRIDGE
Title or Position: PRESIDENT
Credential:
Phone: 757-271-3646