Healthcare Provider Details

I. General information

NPI: 1750869129
Provider Name (Legal Business Name): RISING HEART STUDIOS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8227 OLD OCEAN VIEW RD
NORFOLK VA
23518-2748
US

IV. Provider business mailing address

8227 OLD OCEAN VIEW RD
NORFOLK VA
23518-2748
US

V. Phone/Fax

Practice location:
  • Phone: 757-434-2644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH DE PENSTON
Title or Position: OWNER
Credential: MS, LPC, ATR
Phone: 757-434-2644