Healthcare Provider Details
I. General information
NPI: 1255296414
Provider Name (Legal Business Name): SOVA HEALTH GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8401 MAYLAND DR STE S
RICHMOND VA
23294-4648
US
IV. Provider business mailing address
8401 MAYLAND DR STE S
RICHMOND VA
23294-4648
US
V. Phone/Fax
- Phone: 540-277-6977
- Fax: 540-779-7824
- Phone: 540-277-6977
- Fax: 540-779-7824
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0810X |
| Taxonomy | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRACY ANN
ALISA
REID-SAUNDERS
Title or Position: CEO
Credential: DNP, PMHNP
Phone: 561-618-8043