Healthcare Provider Details

I. General information

NPI: 1336000520
Provider Name (Legal Business Name): THE WHOLE CHILD PROJECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR # 6961
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR # 6961
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 757-991-8364
  • Fax:
Mailing address:
  • Phone: 757-991-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: SHONETTA RUSSELL
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 757-991-8364