Healthcare Provider Details

I. General information

NPI: 1730706961
Provider Name (Legal Business Name): NU DIRECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 07/03/2020
Certification Date: 07/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 WOODSTREAM DR
NORTH DINWIDDIE VA
23803-8882
US

IV. Provider business mailing address

4512 WOODSTREAM DR
NORTH DINWIDDIE VA
23803-8882
US

V. Phone/Fax

Practice location:
  • Phone: 804-926-6139
  • Fax:
Mailing address:
  • Phone: 804-926-6139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMIKA SATTERWHITE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 804-926-6139