=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598632440
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MASSEY HEALING THOUGHTS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2025
-----------------------------------------------------
Last Update Date | 10/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 E BROADWAY
-----------------------------------------------------
City | HOPEWELL
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23860-2809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-473-0906
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 E BROADWAY
-----------------------------------------------------
City | HOPEWELL
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23860-2809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-473-0906
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CARKEIA MASSENBURG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-437-0906
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------