Healthcare Provider Details

I. General information

NPI: 1548189590
Provider Name (Legal Business Name): HEALING HANDS OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S HILL AVE STE 203
SOUTH HILL VA
23970-3240
US

IV. Provider business mailing address

20405 VERNETTA LN
SOUTH CHESTERFIELD VA
23803-8235
US

V. Phone/Fax

Practice location:
  • Phone: 804-551-0796
  • Fax: 804-800-4707
Mailing address:
  • Phone: 804-551-0796
  • Fax: 804-800-4707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DESTINEY CHARDONAY TISDALE
Title or Position: COO
Credential: LCSW
Phone: 804-551-0796