Healthcare Provider Details

I. General information

NPI: 1033021431
Provider Name (Legal Business Name): HEALING HEARTS YOUTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6727 BURBAGE LANDING CIR
SUFFOLK VA
23435-3079
US

IV. Provider business mailing address

6727 BURBAGE LANDING CIR
SUFFOLK VA
23435-3079
US

V. Phone/Fax

Practice location:
  • Phone: 757-305-2711
  • Fax:
Mailing address:
  • Phone: 757-305-2711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SHARITA PITT
Title or Position: OWNER
Credential: MSW, SUPERVISE SW
Phone: 757-305-2711